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Regional bone changes in deep soft tissue hemangiomas: radiographic and MR features
1Department of Radiology, Catholic University of Korea, Holy Family Hospital, Puchun, Kyunggi-do, Korea.
Skeletal Radiology
|May 21, 1998
Summary
Deep soft tissue hemangiomas can cause bone changes in extremities. Recognizing these patterns on imaging is crucial for accurate diagnosis and avoiding misinterpretation of bone abnormalities.
Area of Science:
- Radiology
- Orthopedics
- Pathology
Background:
- Deep soft tissue hemangiomas are vascular tumors that can occur in the extremities.
- Bone changes adjacent to these tumors are not well-characterized.
Purpose of the Study:
- To evaluate and describe bone changes associated with deep soft tissue hemangiomas of the extremities.
- To correlate imaging findings with histological and surgical data.
Main Methods:
- Retrospective review of plain films from 115 patients with deep soft tissue hemangiomas.
- Analysis of bone change patterns and correlation with MRI (55 patients) and surgical findings.
Main Results:
- 21% of patients showed reactive bone changes, and 20% had phleboliths on plain films.
- Observed bone changes included periosteal reactions, osteopenia, cortical erosion, and bony overgrowth.
- MRI revealed bone changes in 29% of cases, while 71% had normal bone.
Conclusions:
- Deep soft tissue hemangiomas can induce a variety of reactive bone changes.
- Understanding these patterns aids in differentiating tumor-related changes from other bone pathologies.