Korean Journal of Radiology

The Korean Society of Radiology (대한영상의학회)
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Cavernous Hemangioma of the Ilium Mimicking Aggressive Malignant Bone Tumor with Increased Activity on $^{18}F$-FDG PET/CT

  • Ko, Seog Wan (Department of Diagnostic Radiology, Dong-A Hospital) ;
  • Park, Jin Gyoon (Department of Diagnostic Radiology, Chonnam National University Hospital)
  • Published : 2013.04.01
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Abstract

Osseous hemangioma is a benign vascular tumor, and it usually occurs in the vertebrae and the skull. However, hemangiomas of flat bones are rare, and there are very few reports that describe the radiologic findings of osseous hemangioma of the ilium. We report a unique case of large cavernous hemangioma mimicking a chondrogenic malignant bone tumor originated from the ilium in a 22-year-old female. The mass showed stippled calcifications, heterogeneous enhancement with thick septa and enhanced soft tissue components on CT and MR, and also this mass demonstrated heterogeneous 2-fluoro [fluorine-18]-2-deoxy-D-glucose ($^{18}F$-FDG) uptake on $^{18}F$-FDG PET/CT.

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References

  1. Kaleem, Z, Kyriakos, M, Totty, WG,Solitary skeletal hemangioma of the extremities, Skeletal Radiol, 29, 1, 502-513(2000) https://doi.org/10.1007/s002560000251
  2. Ogose, A, Hotta, T, Morita, T, Takizawa, T, Ohsawa, H, Hirata, Y,Solitary osseous hemangioma outside the spinal and craniofacial bones, Arch Orthop Trauma Surg, 120, 2, 262-266(2000) https://doi.org/10.1007/s004020050461
  3. Puig, J, Garcia-Pena, P, Enriquez, G, Huguet, P, Lucaya, J,Intraosseous haemangioma of the ilium, Pediatr Radiol, 36, 3, 54-56(2006)
  4. Tew, K, Constantine, S, Lew, WY,Intraosseous hemangioma of the rib mimicking an aggressive chest wall tumor, Diagn Interv Radiol, 17, 4, 118-121(2011)
  5. Chawla, A, Singrakhia, M, Maheshwari, M, Modi, N, Parmar, H,Intraosseous haemangioma of the proximal femur: imaging findings, Br J Radiol, 79, 5, e64-e66(2006) https://doi.org/10.1259/bjr/53131368
  6. Yamamoto, T, Kurosaka, M, Mizuno, K,Juxta-articular hemangioma of long bone, Skeletal Radiol, 29, 6, 535-537(2000) https://doi.org/10.1007/s002560000256
  7. Cha, JG, Yoo, JH, Kim, HK, Park, JM, Paik, SH, Park, SJ,PET/CT and MRI of intra-osseous haemangioma of the tibia, Br J Radiol, 85, 7, e94-e98(2012) https://doi.org/10.1259/bjr/35251836
  8. Matsumoto, K, Ishizawa, M, Okabe, H, Taniguchi, I,Hemangioma of bone arising in the ulna: imaging findings with emphasis on MR, Skeletal Radiol, 29, 8, 231-234(2000) https://doi.org/10.1007/s002560050599
  9. Lopez-Barea, F, Hardisson, D, Rodriguez-Peralto, JL, Sanchez-Herrera, S, Lamas, M,Intracortical hemangioma of bone. Report of two cases and review of the literature, J Bone Joint Surg Am, 80, 9, 1673-1678(1998) https://doi.org/10.2106/00004623-199811000-00015
  10. Dominguez M, Rayo J, Serrano J, Sanchez R, Infante JR, Garcia L, et al. Vertebral hemangioma: "Cold" vertebrae on bone scintigraphy and fluordeoxy-glucose positron emission tomography-computed tomography. Indian J Nucl Med 2011;26:49-51
  11. Bybel, B, Raja, S,Vertebral hemangiomas on FDG PET scan, Clin Nucl Med, 28, 11, 522-523(2003)
  12. Hatayama, K, Watanabe, H, Ahmed, AR, Yanagawa, T, Shinozaki, T, Oriuchi, N,Evaluation of hemangioma by positron emission tomography: role in a multimodality approach, J Comput Assist Tomogr, 27, 12, 70-77(2003) https://doi.org/10.1097/00004728-200301000-00013
  13. Tian, R, Su, M, Tian, Y, Li, F, Li, L, Kuang, A,Dual-time point PET/CT with F-18 FDG for the differentiation of malignant and benign bone lesions, Skeletal Radiol, 38, 13, 451-458(2009) https://doi.org/10.1007/s00256-008-0643-0
  14. Sakurai, K, Hara, M, Ozawa, Y, Nakagawa, M, Shibamoto, Y,Thoracic hemangiomas: imaging via CT, MR, and PET along with pathologic correlation, J Thorac Imaging, 23, 14, 114-120(2008) https://doi.org/10.1097/RTI.0b013e3181584626
  15. Higashiyama, S, Kawabe, J, Hayashi, T, Kurooka, H, Oe, A, Kotani, J,A case of cavernous hemangioma in which malignancy was preoperatively excluded by FDG-PET, Ann Nucl Med, 22, 15, 327-330(2008) https://doi.org/10.1007/s12149-007-0101-4

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