Multiple Cavernous Hemangiomas of the Skull Associated With Hepatic Lesions -Case Report-

Abstract

A 55-year-old woman presented with multiple calvarial cavernous hemangiomas manifesting as right frontal swelling. Craniography and computed tomography showed an osteolytic lesion. Magnetic resonance imaging demonstrated multiple intraosseous lesions, and radioisotope bone scintigraphy identified even more numerous lesions. Total resection of the right frontal lesion and cranioplasty was performed. Histological examination confirmed the lesion as a cavernous hemangioma. Computed tomography of the abdomen revealed multiple hepatic lesions, which might be cavernous hemangiomas. Cavernous hemangioma is a rare bony tumor that should be considered in the differential diagnosis of skull tumors. A patient with multiple cavernous hemangiomas should undergo systemic examination to look for latent lesions, and regular follow-up examinations.

Cavernous haemangioma of maxillary sinus: a camouflaged presentation

“…It constitutes 0.5% to 1.0% of all bone tumors. [4][5][6] Hemangiomas of the head and neck are benign vascular lesions, and although they are common in these regions but it occurs rarely in paranasal sinuses. Fu et al reported in his study 85 cases of vascular tumors of which angiofibroma was the most number of occurring tumour followed by capillary haemangioma and 5 cases of cavernous haemangioma and the other vascular tumours.…”

Cavernous Hemangioma—Uncommon Presentation in Zygomatic Bone

“…5 The cause is thought to be congenital, 2,24 although heredity and family history are not noted. 3 Trauma is considered to be the most important etiology of this tumor. 2,5 In the case under discussion, there was a history of trauma.…”

“…2 However, a link to family occurrences suggests an autosomal dominant interaction with low penetration. 3 In most cases, surgical intervention is not required. When removal is necessary, 2,4 excision under local anesthesia with simple repositioning of the flap is the accepted course of action.…”

Hemangioma cavernoso multifocal en cráneo. Revisión de un caso

“…El diagnóstico diferencial incluye la displasia fibrosa, osteoma, histiocitosis de células de Langerhans, meningioma, enfermedad metastásica, tumor dermoide y mieloma múltiple 18 .…”

“…Pilcher reportó la primera exéresis exitosa de un hemangioma del cráneo en 1894 3 . En 1923 Cushing reporto la resección en bloque del tumor con un borde de hueso normal 18 . El tratamiento quirúrgico de elección es la exéresis en bloque 2 , esta técnica disminuye la pérdida sanguínea transoperatoria aunque esto no sea posible cuando se encuentra involucrada la base del cráneo 17 .…”