Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review
Cases. Case 1 was a 58-year-old man who presented with an incidentally detected, slowly growing mass in the right hypochondrium area. An imaging study showed the mass arising from the 11th rib, with ill-defined margins and cortical destruction. Differential diagnoses included chondrosarcoma and meta...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Hindawi Limited
2021-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2021/9996380 |
| _version_ | 1798031638918070272 |
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| author | Yusuke Tsuda Hiroshi Kobayashi Naohiro Makise Liuzhe Zhang Yusuke Shinoda Tetsuo Ushiku Sakae Tanaka |
| author_facet | Yusuke Tsuda Hiroshi Kobayashi Naohiro Makise Liuzhe Zhang Yusuke Shinoda Tetsuo Ushiku Sakae Tanaka |
| author_sort | Yusuke Tsuda |
| collection | DOAJ |
| description | Cases. Case 1 was a 58-year-old man who presented with an incidentally detected, slowly growing mass in the right hypochondrium area. An imaging study showed the mass arising from the 11th rib, with ill-defined margins and cortical destruction. Differential diagnoses included chondrosarcoma and metastatic malignant tumor. Open biopsy was associated with moderate bleeding (300 mL) despite small incision. Microscopic findings showed numerous irregular, dilated, and thin-walled vessels, consistent with the diagnosis of hemangioma of bone, and en bloc excision was performed with no surgical complication. Case 2 was a 49-year-old man who presented with an incidentally detected 4th rib mass with calcification on computed tomography scan. Chondrosarcoma was suspected according to imaging features. An open biopsy was considered to have a risk of tumor seeding because the tumor was located behind the scapula. En bloc excision of the tumor without biopsy was performed. The pathological findings were consistent with hemangioma of bone. Conclusion. We reported two cases of rare hemangioma arising from the rib, which mimicked chondrosarcoma. The preoperative diagnosis was challenging, both clinically and radiologically. Because biopsy for hemangioma of the rib is associated with a bleeding risk, the en bloc excision without biopsy can be a practical treatment option. |
| first_indexed | 2024-04-11T19:59:40Z |
| format | Article |
| id | doaj.art-e936ddb7855c40d6b3b5e2c5869080ff |
| institution | Directory Open Access Journal |
| issn | 2090-6749 2090-6757 |
| language | English |
| last_indexed | 2024-04-11T19:59:40Z |
| publishDate | 2021-01-01 |
| publisher | Hindawi Limited |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj.art-e936ddb7855c40d6b3b5e2c5869080ff2022-12-22T04:05:41ZengHindawi LimitedCase Reports in Orthopedics2090-67492090-67572021-01-01202110.1155/2021/99963809996380Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature ReviewYusuke Tsuda0Hiroshi Kobayashi1Naohiro Makise2Liuzhe Zhang3Yusuke Shinoda4Tetsuo Ushiku5Sakae Tanaka6Department of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 11386-55, JapanDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 11386-55, JapanDepartment of Pathology, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 11386-55, JapanDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 11386-55, JapanDepartment of Pathology, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, JapanDepartment of Orthopaedic Surgery, The University of Tokyo Hospital, 7-3-1 Hongo, Bunkyo-ku, Tokyo 11386-55, JapanCases. Case 1 was a 58-year-old man who presented with an incidentally detected, slowly growing mass in the right hypochondrium area. An imaging study showed the mass arising from the 11th rib, with ill-defined margins and cortical destruction. Differential diagnoses included chondrosarcoma and metastatic malignant tumor. Open biopsy was associated with moderate bleeding (300 mL) despite small incision. Microscopic findings showed numerous irregular, dilated, and thin-walled vessels, consistent with the diagnosis of hemangioma of bone, and en bloc excision was performed with no surgical complication. Case 2 was a 49-year-old man who presented with an incidentally detected 4th rib mass with calcification on computed tomography scan. Chondrosarcoma was suspected according to imaging features. An open biopsy was considered to have a risk of tumor seeding because the tumor was located behind the scapula. En bloc excision of the tumor without biopsy was performed. The pathological findings were consistent with hemangioma of bone. Conclusion. We reported two cases of rare hemangioma arising from the rib, which mimicked chondrosarcoma. The preoperative diagnosis was challenging, both clinically and radiologically. Because biopsy for hemangioma of the rib is associated with a bleeding risk, the en bloc excision without biopsy can be a practical treatment option.http://dx.doi.org/10.1155/2021/9996380 |
| spellingShingle | Yusuke Tsuda Hiroshi Kobayashi Naohiro Makise Liuzhe Zhang Yusuke Shinoda Tetsuo Ushiku Sakae Tanaka Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review Case Reports in Orthopedics |
| title | Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review |
| title_full | Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review |
| title_fullStr | Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review |
| title_full_unstemmed | Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review |
| title_short | Hemangioma of the Rib Mimicking Chondrosarcoma: A Report of Two Cases and Literature Review |
| title_sort | hemangioma of the rib mimicking chondrosarcoma a report of two cases and literature review |
| url | http://dx.doi.org/10.1155/2021/9996380 |
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