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[Skeletal hemangiomas].

M Rickert1, A Meurer2

  • 1Orthopädische Universitätsklinik Friedrichsheim gGmbH, Marienburgstr. 2, 60528, Frankfurt am Main, Deutschland. marcus.rickert@friedrichsheim.de.

Der Orthopade
|April 13, 2017
PubMed
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Hemangiomas are benign vascular tumors, most common in the spine. Diagnosis uses imaging like MRI, with treatments varying from embolization to surgery, offering a good prognosis.

Area of Science:

  • Oncology
  • Radiology
  • Orthopedic Surgery

Background:

  • Hemangiomas are benign tumors composed of neoplastic blood vessels.
  • They are the most common benign spinal tumors and can occur in extremity bones.
  • Pathogenesis remains unclear, with a 2:1 female to male prevalence.

Purpose of the Study:

  • To summarize the characteristics, diagnosis, and treatment of osseous hemangiomas.
  • To highlight the diagnostic imaging features and treatment modalities.
  • To provide an overview of the prognosis for patients with hemangiomas.

Main Methods:

  • Review of diagnostic imaging techniques including X-ray, CT, and MRI.
  • Summary of treatment options for vertebral and long bone hemangiomas.
  • Analysis of clinical presentation and epidemiological data.
Keywords:
Blood vesselsExtremitySpineTherapyTumor

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Main Results:

  • X-ray and CT show honeycombing or lucencies with thickened bone.
  • Vertebral hemangiomas are hyperintense on T1 and T2 MRI.
  • Treatment varies from conservative to surgical interventions.

Conclusions:

  • Osseous hemangiomas are common, often incidental findings with a good prognosis.
  • Multimodality imaging is crucial for diagnosis.
  • Treatment is tailored to location and symptoms, with generally favorable outcomes.