Han Tao, Wang Rufa, Zhou Xiaoguang
Department of Burns and Plastic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Department of Orthopedic Surgery, Children's Hospital of Nanjing Medical University, Nanjing, China.
Front Pediatr. 2021 Nov 4;9:767927. doi: 10.3389/fped.2021.767927. eCollection 2021.
Spindle cell hemangioma (SCH), a non-neoplastic reactive vascular lesion, rarely locates in bones. We herein report a successful case of intralesional curettage for an infant with SCH of fibula. An 11-month-old boy was admitted to our center with a painless mass in the right proximal calf. Preoperative digital radiograph demonstrated a massive vascular lesion with an irregular bone destruction of proximal fibula. The lesion was removed via the intralesional curettage approach and pathologically diagnosed as SCH. The patient gained bone structure recovery of right proximal fibula. Two years after the surgery, he experienced no local recurrence. For the management of SCH of fibula with partial bone destruction, we suggest early-stage intralesional curettage as its safety and effectiveness.
梭形细胞血管瘤（SCH）是一种非肿瘤性反应性血管病变，很少发生于骨骼。我们在此报告一例成功采用病损内刮除术治疗婴儿腓骨SCH的病例。一名11个月大的男孩因右小腿近端无痛性肿块入住我们中心。术前数字化X线片显示腓骨近端有一个巨大的血管病变，伴有不规则的骨质破坏。通过病损内刮除术切除病变，病理诊断为SCH。患者右腓骨近端的骨结构得以恢复。术后两年，未出现局部复发。对于伴有部分骨质破坏的腓骨SCH的治疗，我们建议早期采用病损内刮除术，因其具有安全性和有效性。
