Monday, June 21, 2021

Dynamic magnetic resonance imaging features of cavernous hemangioma in the manubrium: A case report

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World J Clin Cases. 2021 Jun 16;9(17):4262-4267. doi: 10.12998/wjcc.v9.i17.4262.

ABSTRACT

BACKGROUND: Osseous hemangiomas, especially those located in the manubrium, are rare benign tumors. In a review of the literature, only three case reports of sternal hemangioma were found. A precise diagnosis is difficult because of their nonspecific findings on computed tomography (CT)/magnetic resonance imaging (MRI).

CASE SUMMARY: An 88-year-old woman was suffering from a progressively enlarging mass in the manubrium. Chest CT images showed an osteolytic and expansile lesion with cortical destruction. Vascular malformation was suspected after CT-guided biopsy. On the dynamic MRI scans, the mass showed a bright signal on the T2-weighted image, peripheral nodular enhancement on the early-phase images and progressive centripetal fill-in on the delayed-phase images. Cavernous hemangioma was suspected preoperatively based on the MRI features a nd finally confirmed by histopathologic analysis.

CONCLUSION: This uncommon case demonstrates the possible characteristic features of manubrium cavernous hemangioma on dynamic MRI scans; knowledge about these features may prevent patients from developing catastrophic complications, such as rupture or internal hemorrhage, caused by biopsy or surgery.

PMID:34141789 | PMC:PMC8173419 | DOI:10.12998/wjcc.v9.i17.4262

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