We are dealing with a 57-year-old patient, with no history of interest, referred to our Service for surgical assessment. It had presented, for 4.5 years, a small tumor in the left front region of 1.5 cm in diameter, which had slowly increased in size. During the examination, a mass of solid and hard consistency, painless and adhered to deep planes, was palpated under a normal-looking skin. The plain radiograph and the CT showed a left frontal intraosseous lesion with osteolytic characteristics with moderate aggressiveness. The radiological differential diagnosis included bone metastasis or plasmacytoma. The systemic studies of tumor tracking (blood count, hematological smear, tumor markers, proteinogram, and cervical-thoraco-abdominal CT) were negative. The percutaneous puncture with fine needle of the tumor was inconclusive for the diagnosis; only blood fragments were obtained. Finally, it was decided to surgically intervene the patient based on the clinical progression of the lesion, with its esthetic implications, as well as to obtain a definitive histological diagnosis. During the surgery, a bone-dependent tumor was identified, with multiple dilated vascular channels in its center, which expanded the external table. To avoid manipulation of the lesion, it was decided to include it in a piece of craniectomy with a circumferential margin of 1 cm of the seemingly healthy bone. The resulting bone defect was reconstructed by means of a cylindrical metametacrylate plasty, which was fixed to the surrounding bone with titanium miniplates. The postoperative period was uneventful. The definitive anatomopathological diagnosis was intraosseous cavernous hemangioma.
Author(s) Details:
Alejandra Arévalo Sáenz
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Borja Ferrández Pujante
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Fernando J. Rascón-Ramírez
Neurosurgery Service of the San Carlos University Hospital, C/ Profesor Martín Lagos S/N, Monclo 28040 Madrid, Spain.
Recent Global Research Developments in Primary Intraosseous Cavernous Hemangioma of the Skull
Case Report and Literature Review: A study published in Surgical Neurology International discusses a case of primary intraosseous cavernous hemangioma of the clivus, highlighting the diagnostic challenges and surgical approach [1] .
Review of Literature: An article in the Journal of Neurological Surgery Reports provides a comprehensive review of primary intraosseous cavernous hemangiomas, focusing on their clinical presentation, diagnosis, and treatment [2] .
Congenital Intraosseous Cavernous Hemangioma: This research, published in Pediatric Neurosurgery, explores the rare occurrence of congenital intraosseous cavernous hemangiomas in the skull, detailing clinical cases and outcomes [3] .
Clinical and Radiological Features: A study in Neuroradiology describes the clinical and radiological features of intraosseous cavernous hemangiomas, based on three patient cases [4] .
Presentation of a Clinical Case: An article on ResearchGate presents a clinical case of intraosseous cavernous hemangioma, discussing the surgical management and outcomes [5] .
References
- Kobayashi, Yuta, Shunsuke Satoh, Yugo Kishida, Hiromi Goto, Daichi Fujimori, Akinori Onuki, Kazuo Watanabe, and Noriaki Tomura. “Primary intraosseous cavernous hemangioma of the clivus: A case report and literature review.” Surgical Neurology International 15 (2024).
- Gologorsky, Y., Shrivastava, R. K., Panov, F., Mascitelli, J., Del Signore, A., Govindaraj, S., … & Bronster, D. J. (2013). Primary intraosseous cavernous hemangioma of the clivus: case report and review of the literature. Journal of neurological surgery reports, 74(01), 017-022.
- Rumana, Makhdoomi, Nayil Khursheed, Mustafa Farhat, Salim Othman, and Laharwal Masood. “Congenital intraosseous cavernous hemangioma of the skull: an unusual case.” Pediatric Neurosurgery 49, no. 4 (2014): 229-231.
- Cervoni, L., Artico, M. & Delfini, R. Intraosseous cavernous hemangioma of the skull. Neurosurg. Rev. 18, 61–64 (1995). https://doi.org/10.1007/BF00416480
- Sáenz, Alejandra Arévalo, Natalia Frade Porto, and Manuel Pedrosa Sánchez. “Intraosseous cavernous hemangioma: presentation of a clinical case.” Egyptian Journal of Neurosurgery 33 (2018): 1-6.
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