Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan.
Department of Clinical Laboratory, Nagano Children's Hospital, Azumino, Japan.
Childs Nerv Syst. 2021 Jan;37(1):319-323. doi: 10.1007/s00381-020-04678-4. Epub 2020 May 20.
Primary intraosseous cavernous hemangiomas of the skull are very rare in the pediatric age group and usually slow-growing tumors.
We present a case of 5-month-old girl with a left occipital cavernous hemangioma that is rapidly growing. The subcutaneous occipital tiny mass was first noted at birth, and the lesion became rapidly enlarged in size and became soft for 3 months. The left occipital subcutaneous lesion was 4.0 × 4.0 × 2.0 cm (AP × LR × HT) in size. There was no history of trauma or bone tumor in her family. She underwent resection of the lesion, and a pathologic diagnosis of calvarial cavernous hemangioma was made. No recurrence was seen 1 year after surgery.
The rapid growth of the infant cavernous hemangioma might be related to not only bleeding and/or congestion of the lesion but the immature thin skull of the infant.
颅骨原发性骨内海绵状血管瘤在儿科中非常罕见，通常为生长缓慢的肿瘤。
我们报告了一例 5 月龄女婴左侧枕部海绵状血管瘤，其生长迅速。患儿出生时即发现枕部皮下小结节，3 个月内病变迅速增大，质地变软。左侧枕部皮下病变大小为 4.0×4.0×2.0cm（AP×LR×HT）。患儿家族中无外伤或骨肿瘤史。患儿接受了病变切除术，病理诊断为颅骨海绵状血管瘤。术后 1 年未见复发。
婴儿海绵状血管瘤的快速生长可能不仅与病变的出血和/或充血有关，还与婴儿不成熟的薄颅骨有关。
