Woo Chang Gok, Lee Ho-Chang, Son Seung-Myoung, Hong Jong-Myeon, Lee Ok-Jun
1 Department of Pathology, Chungbuk National University Hospital, Cheongju, Korea.
2 Chungbuk National University College of Medicine, Cheongju, Korea.
J Int Med Res. 2019 Feb;47(2):982-985. doi: 10.1177/0300060518809589. Epub 2018 Nov 26.
Bone hemangioma accounts for approximately 1% of all bone neoplasms and commonly occurs in the vertebral body and skull. However, costal hemangiomas are extremely rare. We herein present a case involving a 52-year-old woman with a hemangioma in the third rib and review 29 cases of rib hemangiomas available in the literature. Rib hemangioma mainly affects women in their 50s and has expansile osteolytic features in radiographs and a weak maximum standardized uptake value in F-fluorodeoxyglucose positron emission tomography images. When these findings are displayed, clinicians should include rib hemangioma as a differential diagnosis and consider avoidance of preoperative biopsy because of the risk of life-threatening bleeding.
骨血管瘤约占所有骨肿瘤的1%，常见于椎体和颅骨。然而，肋骨血管瘤极为罕见。我们在此报告一例52岁女性第三肋骨血管瘤病例，并回顾文献中现有的29例肋骨血管瘤病例。肋骨血管瘤主要影响50多岁的女性，在X线片上具有膨胀性溶骨特征，在F-氟脱氧葡萄糖正电子发射断层扫描图像中最大标准化摄取值较低。当出现这些表现时，临床医生应将肋骨血管瘤作为鉴别诊断之一，并考虑避免术前活检，因为存在危及生命的出血风险。
