Cavernous Hemangioma of The Rib: A Case Report

Abstract

Cavernous hemangioma of the bone is an uncommon benign vascular tumor, generally occurring in the spine or skull but extremely rare in the rib. We report the case cavernous hemangioma of the rib treated by surgical resection after CT and MR findings.

Hemangioma of the rib: a rare case report and literature review

“…The cavernous type consists of large dilated vessels lined by a single layer of endothelial cells surrounded by a fibrous stroma layer. The capillary hemangioma, which is less common, shows numerous tortuous small vascular channels lined with epithelium [ 8 ]. Bone hemangiomas are benign tumors of vascular origin and are mostly incidental findings in middle aged females [ 9 ].…”

“…Usually rib hemangiomas in imaging are characteristically expansile and well circumscribed, with a thin, intact bony cortex. While some rib hemangiomas in imaging showed a sunburst appearance or disruption of the bony cortex with extraosseous extension, or both, although these are generally malignant findings [ 8 , 12 ]. Honeycomb appearance to the medullary cavity of the rib is also common [ 12 ].…”

“…Cortical disruption appearance of rib hemangioma can give the false impression of aggressive behavior. The differential diagnosis of hemangioma of the rib may include metastatic and primary malignant tumors (chondrosarcoma, osteogenic sarcoma, myeloma, and Ewing sarcoma) or benign tumors (fibrous dysplasia, osteochondroma, aneurismal bone cyst and eosinophilic granuloma) [ 8 ]. There was reported in literature that hemangioma of the rib was diagnosed preoperatively by percutaneous needle biopsy which is safe and useful in obtaining a definite diagnosis [ 6 , 12 ].…”

An Unusual Case of Cavernous Hemangioma of the Rib in a Young Man with Lung Tuberculosis: A Brief Review and Case Report

“…Cavernous hemangiomas are composed of dilated vessels lined by endothelial cells (7). These lesions originate from intraosseous tissue and form extraosseous components, leading to bone expansion (8).…”

Hemangioma of Rib: A Different Perspective

“…Hemangiomas show multiple patterns of histological subtypes, but same treatment protocol for all subtypes and hence a preoperative biopsy of such a radiologically imaged vascular lesion can lead to mortifying results [ 2 ].…”