Radiology Case Reports (Mar 2022)

Rare spindle cell hemangioma of bone: Case report and literature review

  • Cong Huang, MD,
  • Hengsheng Zhang, MD,
  • Li Guan, MD,
  • Junde Luo, MD

Journal volume & issue
Vol. 17, no. 3
pp. 886 – 890

Abstract

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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.

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