Huang Cong, Zhang Hengsheng, Guan Li, Luo Junde
Department of Radiology, No. 926 Hospital, Joint Logistics Support Force of PLA, Kaiyuan, Yunnan 661699, China.
Department of Orthopedics, No. 926 Hospital, Joint Logistics Support Force of PLA, Kaiyuan, Yunnan 661699, China.
Radiol Case Rep. 2022 Jan 12;17(3):886-890. doi: 10.1016/j.radcr.2021.11.051. eCollection 2022 Mar.
Spindle cell hemangioma is a rare benign hemangioma. It is mainly found as small soft tissue nodules in the distal extremities, especially in the hands. The manifestation in bone is extremely rare. We present a case of spindle cell hemangioma of bone in the frontal bone. We also reviewed the literature to find the common imaging findings of intraosseous hamangiomas. The main manifestations of X-ray and CT were osteolytic lesions with soap bubble-like changes, and soft tissue mass formation. Magnetic resonance imaging mainly showed a lobulated mass with clear boundary, uneven hyperintense on T2WI, and obvious enhancement on contrast-enhanced scan. Surgical excision is curative. While this lesion is rare, it can be considered in the differential diagnosis if the characteristic imaging features are present.
梭形细胞血管瘤是一种罕见的良性血管瘤。它主要表现为远端肢体的小软组织结节,尤其是手部。在骨骼中的表现极为罕见。我们报告一例额骨梭形细胞血管瘤病例。我们还回顾了文献以找出骨内血管瘤的常见影像学表现。X线和CT的主要表现为溶骨性病变伴皂泡样改变以及软组织肿块形成。磁共振成像主要显示边界清晰的分叶状肿块,T2加权像上呈不均匀高信号,增强扫描有明显强化。手术切除可治愈。虽然这种病变罕见,但如果出现特征性影像学表现,在鉴别诊断时可予以考虑。