Murrone Domenico, De Paulis Danilo, Millimaggi Daniele F, Del Maestro Mattia, Galzio Renato J
Department of Neurosurgery, San Salvatore City Hospital, via Vetoio, Coppito, L'Aquila 67100, Italy.
J Med Case Rep. 2014 Apr 9;8:121. doi: 10.1186/1752-1947-8-121.
Cavernous hemangiomas are rare benign bone tumors and those at the level of the cranial bones are even rarer.
A 50-year-old woman of Italian ethnicity presented with a frontal mass. A computed tomography scan showed an osteolytic lesion and a magnetic resonance imaging scan revealed a hypointense lesion on the T1-weighted image and a hyperintense lesion on the T2-weighted image. We performed a tailored craniectomy and cranioplasty. Histological examination revealed a cavernous hemangioma.
These benign tumors do not have classic radiographic features and so can be misinterpreted as lesions like multiple myeloma or osteosarcoma. Consequently, the diagnosis is most often made during surgical resection.
海绵状血管瘤是罕见的良性骨肿瘤,而发生于颅骨水平的海绵状血管瘤更为罕见。
一名50岁的意大利裔女性因额部肿物就诊。计算机断层扫描显示为溶骨性病变,磁共振成像扫描显示在T1加权图像上为低信号病变,在T2加权图像上为高信号病变。我们实施了定制的颅骨切除术和颅骨成形术。组织学检查显示为海绵状血管瘤。
这些良性肿瘤不具有典型的影像学特征,因此可能被误诊为多发性骨髓瘤或骨肉瘤等病变。因此,诊断通常在手术切除时做出。