Rajebi Hamid, Madanipour Shahzad, Shiraj Sahar, Yegorov Arthur
Radiology Department, SUNY Upstate Medical University, Syracuse, NY, USA.
BJR Case Rep. 2016 May 15;2(2):20150269. doi: 10.1259/bjrcr.20150269. eCollection 2016.
In this case, we report an epithelioid haemangioma (EH) of the fibula with ill-defined multifocal lesions and a resultant pathologic fracture. Based on radiographic appearance, these lesions were initially thought to represent a malignant process, such as primary malignant bone tumour, metastases or multiple myeloma. Osseous EHs are rare. Although they can present as multifocal lesions, the majority of bony EHs are solitary and arise in the diaphysis or metaphysis of long tubular bones, with a predilection for the lower extremity. Non-specific radiological findings, debatable cytological appearance and unpredictable clinical growth patterns commonly cause misdiagnosis of malignancy. To the best of our knowledge, a case of EH with multiple growing lesions of the fibula has not yet been reported in the literature.
在此病例中，我们报告了一例腓骨上皮样血管瘤（EH），其具有边界不清的多灶性病变并导致病理性骨折。基于影像学表现，这些病变最初被认为代表恶性过程，如原发性恶性骨肿瘤、转移瘤或多发性骨髓瘤。骨EH很罕见。尽管它们可表现为多灶性病变，但大多数骨EH是孤立性的，发生于长管状骨的骨干或干骺端，以下肢多见。非特异性的放射学表现、有争议的细胞学外观以及不可预测的临床生长模式常导致恶性肿瘤的误诊。据我们所知，文献中尚未报道过伴有腓骨多发生长性病变的EH病例。
