Yao Kai, Tang Fan, Min Li, Zhou Yong, Tu Chongqi
Departments of Orthopedics, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
Medicine (Baltimore). 2019 Jan;98(2):e14001. doi: 10.1097/MD.0000000000014001.
Multifocal intraosseous hemangioma, which affects multiple body parts, is rare. The selection of appropriate lesion sites for biopsy and effective treatment in multifocal intraosseous hemangioma is challenging. Here, we report a case of multifocal intraosseous hemangioma.
A 49-year-old woman was admitted to our department with a chief complaint of aggravated lumber pain for 10 days.
Radiographic imaging revealed lesions involving the bilateral ribs, lumbar vertebrae, ilium, pubis, and proximal femur. Open biopsy in the ilium established the pathological diagnosis of intraosseous hemangioma.
For the symptomatic lumbar spine, the patient selected radiotherapy as the initial treatment.
As of the one-year follow-up, no symptoms of recurrence have been observed.
This rare case demonstrates the importance of the selection of the appropriate lesion to confirm the diagnosis and effective treatment for patients with multifocal disease. Radiotherapy plays an important role in the treatment of patients with symptomatic vertebral hemangiomas without neurologic deficits.
多灶性骨内血管瘤累及身体多个部位，较为罕见。对于多灶性骨内血管瘤，选择合适的病变部位进行活检及有效治疗具有挑战性。在此，我们报告一例多灶性骨内血管瘤病例。
一名49岁女性因腰部疼痛加重10天入院。
影像学检查显示双侧肋骨、腰椎、髂骨、耻骨及股骨近端均有病变。髂骨开放性活检确诊为骨内血管瘤。
针对有症状的腰椎，患者选择放射治疗作为初始治疗。
截至一年随访，未观察到复发症状。
该罕见病例表明，对于多灶性疾病患者，选择合适的病变部位以确诊并进行有效治疗非常重要。放射治疗在治疗无神经功能缺损的有症状椎体血管瘤患者中发挥着重要作用。
