Periosteal spindle cell hemangioma of the fibula: a case report

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• 作者：Shinji Tsukamoto (1)
  Kanya Honoki (1)
  Keiji Shimada (2)
  Hiromasa Fujii (1)
  Akira Kido (1)
  Masato Takano (3)
  Yasunori Enomoto (3)
  Takahiko Kasai (3)
  Noboru Konishi (2)
  Yasuhito Tanaka (1)
  
• 关键词：Spindle cell hemangioma ; Periosteal tumor ; Hemangioma of bone ; Fibula ; Vascular tumor
• 刊名：Skeletal Radiology
• 出版年：2013
• 出版时间：August 2013
• 年：2013
• 卷：42
• 期：8
• 页码：1165-1168
• 全文大小：374KB
• 参考文献：1. Weiss SW, Goldblum JR. Spindle cell hemangioendothelioma: a low-grade angiosarcoma resembling cavernous hemangioma and Kaposi鈥檚 sarcoma. Am J Surg Pathol. 1986;10:521鈥?0. CrossRef
  2. Perkins P, Weiss SW. Spindle cell hemangioendothelioma: an analysis of 78 cases with reassessment of its pathogenesis and biologic behavior. Am J Surg Pathol. 1996;20:1196鈥?04. CrossRef
  3. Hakozaki M, Tajino T, Watanabe K, Yamada H, Kikuchi S, Hojo H, et al. Intraosseus spindle cell hemangioma of the calcaneous: a case report and review of the literature. Ann Diagn Pathol. 2012;16:369鈥?3
  4. Talan-Hranilovic J, Vucic M, Sajko T, Bedek D, Tomic K, Lupret V. Spinal spindle cell haemangioma: an atypical location. Acta Neurochir (Wien). 2007;149:325鈥?. CrossRef
  5. Cansiz H, Yener M, Dervisoglu S, Kalekoglu N. Hemangioendothelioma of the frontal bone in a child. J Craniofac Surg. 2003;14:724鈥?. CrossRef
  
• 作者单位：Shinji Tsukamoto (1)
  Kanya Honoki (1)
  Keiji Shimada (2)
  Hiromasa Fujii (1)
  Akira Kido (1)
  Masato Takano (3)
  Yasunori Enomoto (3)
  Takahiko Kasai (3)
  Noboru Konishi (2)
  Yasuhito Tanaka (1)
  
  1. Department of Orthopaedic Surgery, Nara Medical University, 840, Shijo-cho, Kashihara-City, Nara, 634-8521, Japan
  2. Department of Pathology, Nara Medical University, Kashihara, Japan
  3. Department of Diagnostic Pathology, Nara Medical University, Kashihara, Japan
  
• ISSN：1432-2161

文摘

Spindle cell hemangioma is a rare benign tumor characterized by cavernous blood vessels and spindle cell proliferation. It typically arises in the subcutis of the distal extremities, particularly in the hand. Spindle cell hemangioma of periosteal origin is extremely rare, and our extensive literature search did not find any reports of this condition. We report here a case of spindle cell hemangioma of periosteal origin arising from the right fibula of a 49-year-old woman. Pathological examination of a needle biopsy specimen indicated the possibility of low-grade spindle cell sarcoma, and the patient underwent resection of the fibular diaphysis with a wide margin. Subsequent examination of the surgical specimen revealed a diagnosis of periosteal spindle cell hemangioma. Follow-up examination at 10 months showed no evidence of local recurrence or metastasis. A large tissue sample was required for definitive diagnosis in this case. Spindle cell hemangioma behaves in a benign fashion, but recurrence occurs in about 60% of cases. Excision of the fibula was a reasonable course of management in this case because these patients usually maintain good function. Reports of additional cases will be required to determine the most appropriate treatment for this tumor.