Mulugeta Mesfin, Muluken Yenewub, Tamiru Raja, Hailemeskel Ermias Gizaw, Nigussie Bethelehem
Department of Radiology, Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia.
Department of Orthopedics and Trauma, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Radiol Case Rep. 2024 Nov 22;20(2):929-932. doi: 10.1016/j.radcr.2024.10.111. eCollection 2025 Feb.
Intraosseous hemangiomas are benign vascular tumors which are more commonly seen in the vertebrae and skull but they rare in the ribs. Rib hemangiomas can mimic malignant rib lesions and definitive clinical and imaging diagnosis might be difficult and pathological confirmation will be required. Here we report a rib hemangioma in a 49-year-old male presented with painless chest wall swelling of 9 years duration, on chest CT scan the lesion showed dense radiating type calcification with cortical destruction. The patient was sent for core needle biopsy with the impression of chondrosarcoma, subjected to histopathology and confirmed to be a hemangioma. So, although rib hemangioma is rare it should be at the back of our mind for differential diagnosis of aggressive appearing rib lesions especially in patients presented with indolent, painless and incidental rib swelling.
骨内血管瘤是一种良性血管肿瘤，更常见于脊椎和颅骨，而在肋骨中罕见。肋骨血管瘤可模仿恶性肋骨病变，明确的临床和影像学诊断可能困难，需要病理证实。在此，我们报告一例49岁男性的肋骨血管瘤，该患者有持续9年的无痛性胸壁肿胀，胸部CT扫描显示病变有致密的放射状钙化并伴有皮质破坏。该患者因疑似软骨肉瘤接受了粗针活检，经组织病理学检查确诊为血管瘤。因此，尽管肋骨血管瘤罕见，但在鉴别诊断表现为侵袭性的肋骨病变时，尤其是对于出现无痛性、惰性和偶然发现的肋骨肿胀的患者，我们应将其考虑在内。
