Department of Radiotherapy, the Second Hospital of Hebei Medical University, Shijiazhuang, 050000, China.
Department of medical imaging, the Second Hospital of Hebei Medical University, Shijiazhuang, China.
BMC Cancer. 2019 Feb 25;19(1):172. doi: 10.1186/s12885-019-5341-x.
Primary intraosseous cavernous hemangiomas (PICHs) of the skull are extremely rare. To date, diffuse cranial hemangioma of skull has not been reported. In cancer patients, it is often misdiagnosed as metastasis.
Here, we presented a case of a 50-year-old female patient suffering from slightly headache who received breast cancer modified radical mastectomy in 2004, computed tomography and magnetic resonance imaging findings revealed abnormal lesions of diffuse skull which were misdiagnosed as skull metastasis, and the relevant literatures were also reviewed.
Diffuse cavernous hemangioma of the skull is exceedingly rare, and imaging data are not typical. The condition is often misdiagnosed, and pathological evaluation is necessary and important. In cases where the mass cannot be completely removed by surgery, radiotherapy could be beneficial.
颅骨原发性骨内海绵状血管瘤（PICH）极为罕见。迄今为止，颅骨弥漫性血管瘤尚未见报道。在癌症患者中，常被误诊为转移瘤。
我们在此介绍了一位 50 岁女性患者，她于 2004 年因乳腺癌接受改良根治性乳房切除术，略有头痛，计算机断层扫描和磁共振成像结果显示弥漫性颅骨异常病变，误诊为颅骨转移瘤，并复习了相关文献。
颅骨弥漫性海绵状血管瘤极为罕见，影像学数据不典型。该病症常被误诊，病理评估是必要和重要的。如果肿块不能通过手术完全切除，放疗可能有益。
