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Hemangioma
Case Detail
| Anatomy: Musculoskeletal |
 Joseph Junewick, MD FACR |
| Diagnostic Category: Neoplasia Benign |
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| Created: over 3 years ago |
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| Updated: over 2 years ago |
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| Tags:
PEDS
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| Modality/Study Types:
CR
3D
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Activities:  PDF  ImageJA |
History
Teenage male with thumb pain.
Case Images
Diagnosis
Hemangioma with aneurysmal bone cyst formation.
Findings
x ray – spicuated expansile lesion of the 1st metacarpal.
CT – striated osteolysis of the cortex with resorbed trabeculae.
Discussion
Sekeletal hemangiomas account for approximately 1% of primary bone tumors. The vast majority occur in the axial skeleton (skull, vertebrae, pelvis, ribs, clavicles, and scapulae). Hemangiomas of the appendicular skeleton often have bizarre aggressive appearances. Most appendicular hemangiomas originate from the medullary space but can arise from the cortex or periosteum. Almost all patients do well, even with incomplete resection.
Reference
Kaleem Z, et al. Solitary skeletal hemangioma of the extremities. Skeletal Radiology 2000; 29:502-513.