Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors

Hemangioma is a congenital vascular malformation that occurs commonly in the skin and soft tissues of younger individuals but rarely in the bone. The term hemangioma occurring in bone has been referred to as venous bony malformation also. In these rare cases, vertebral bodies occur more often, follo...

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Main Authors: Shan Liu, Luan Xiang, Fan Ding, Ling Yuan, Xiu-Mei Wang
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-06-01
Series:Frontiers in Oncology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fonc.2023.1164331/full
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author Shan Liu
Luan Xiang
Fan Ding
Ling Yuan
Xiu-Mei Wang
author_facet Shan Liu
Luan Xiang
Fan Ding
Ling Yuan
Xiu-Mei Wang
author_sort Shan Liu
collection DOAJ
description Hemangioma is a congenital vascular malformation that occurs commonly in the skin and soft tissues of younger individuals but rarely in the bone. The term hemangioma occurring in bone has been referred to as venous bony malformation also. In these rare cases, vertebral bodies occur more often, followed by the craniofacial skeleton and long bones. Most rib tumors are malignant, and hemangiomas of the rib tend to grow expansively and disrupt the cortex. Venous malformations in ribs are not tumors but can be misdiagnosed as aggressive tumors or infectious processes. In fact, hemangioma of bone is a locally aggressive benign vascular malformation associated with a good prognosis. To date, no more than 50 cases of rib hemangiomas have been described in the English literature. This report presents a case of an asymptomatic 27-year-old female patient who found a quail egg-sized lump on the right side of her chest that was the size of a cocoon 2 months prior. Then, the lump grew rapidly to the size of an egg when she presented to the hospital. Because of its worrisome histomorphologic features and aggressive clinical radiologic findings, it was once misdiagnosed as a malignant tumor by most doctors. However, the pathological results after the operation confirmed rib hemangioma. Therefore, this case report aims to share this particular case so that more doctors can better understand the particularity of this disease’s progression.
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spelling doaj.art-416b9c63d94249b9a46ec16c1dc44e3c2023-06-07T05:21:01ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2023-06-011310.3389/fonc.2023.11643311164331Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumorsShan Liu0Luan Xiang1Fan Ding2Ling Yuan3Xiu-Mei Wang4Department of Thoracic Surgery, The Third Hospital of Wuhan, Wuhan, ChinaDepartment of Thoracic Cardiovascular Surgery, General Hospital of Central Theater Command of the People’s Liberation Army, Wuhan, ChinaDepartment of Orthopaedics, General Hospital of Central Theater Command of The People’s Liberation Army, Wuhan, ChinaDepartment of Pathology, General Hospital of Central Theater Command of the People’s Liberation Army, Wuhan, ChinaDepartment of Thoracic Cardiovascular Surgery, General Hospital of Central Theater Command of the People’s Liberation Army, Wuhan, ChinaHemangioma is a congenital vascular malformation that occurs commonly in the skin and soft tissues of younger individuals but rarely in the bone. The term hemangioma occurring in bone has been referred to as venous bony malformation also. In these rare cases, vertebral bodies occur more often, followed by the craniofacial skeleton and long bones. Most rib tumors are malignant, and hemangiomas of the rib tend to grow expansively and disrupt the cortex. Venous malformations in ribs are not tumors but can be misdiagnosed as aggressive tumors or infectious processes. In fact, hemangioma of bone is a locally aggressive benign vascular malformation associated with a good prognosis. To date, no more than 50 cases of rib hemangiomas have been described in the English literature. This report presents a case of an asymptomatic 27-year-old female patient who found a quail egg-sized lump on the right side of her chest that was the size of a cocoon 2 months prior. Then, the lump grew rapidly to the size of an egg when she presented to the hospital. Because of its worrisome histomorphologic features and aggressive clinical radiologic findings, it was once misdiagnosed as a malignant tumor by most doctors. However, the pathological results after the operation confirmed rib hemangioma. Therefore, this case report aims to share this particular case so that more doctors can better understand the particularity of this disease’s progression.https://www.frontiersin.org/articles/10.3389/fonc.2023.1164331/fullhemangiomaribcomputerized tomographymalignancy tumorcase reportvenous bony malformation
spellingShingle Shan Liu
Luan Xiang
Fan Ding
Ling Yuan
Xiu-Mei Wang
Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
Frontiers in Oncology
hemangioma
rib
computerized tomography
malignancy tumor
case report
venous bony malformation
title Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
title_full Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
title_fullStr Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
title_full_unstemmed Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
title_short Case Report: Cavernous hemangioma of rib: an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
title_sort case report cavernous hemangioma of rib an extremely rare venous malformation but easily misdiagnosed as aggressive tumors
topic hemangioma
rib
computerized tomography
malignancy tumor
case report
venous bony malformation
url https://www.frontiersin.org/articles/10.3389/fonc.2023.1164331/full
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