Rare spindle cell hemangioma of bone: Case report and literature review

Radiol Case Rep. 2022 Jan 12;17(3):886-890. doi: 10.1016/j.radcr.2021.11.051. eCollection 2022 Mar.

Abstract

Spindle cell hemangioma is a rare benign hemangioma. It is mainly found as small soft tissue nodules in the distal extremities, especially in the hands. The manifestation in bone is extremely rare. We present a case of spindle cell hemangioma of bone in the frontal bone. We also reviewed the literature to find the common imaging findings of intraosseous hamangiomas. The main manifestations of X-ray and CT were osteolytic lesions with soap bubble-like changes, and soft tissue mass formation. Magnetic resonance imaging mainly showed a lobulated mass with clear boundary, uneven hyperintense on T2WI, and obvious enhancement on contrast-enhanced scan. Surgical excision is curative. While this lesion is rare, it can be considered in the differential diagnosis if the characteristic imaging features are present.

Keywords: CT, Computed tomography; Frontal bone; MRI, Magnetic resonance imaging; Magnetic resonance imaging; SCH, Spindle cell hemangioma; Spindle cell hemangioma; T1WI, T1-weighted images; T2WI, T2-weighted images; Vascular tumor.

Publication types

  • Case Reports