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The Journal of Bone and Joint Surgery 80:1673-8 (1998)
© 1998 The Journal of Bone and Joint Surgery, Inc.

Intracortical Hemangioma of Bone. Report of Two Cases and Review of the Literature*

FERNANDO LÓPEZ-BAREA, M.D.{dagger}, DAVID HARDISSON, M.D.{dagger}, JOSÉ LUIS RODRÍGUEZ-PERALTO, M.D.{ddagger}, SALVADOR SÁNCHEZ-HERRERA, M.D.{dagger} and MANUEL LAMAS, M.D.{dagger}, MADRID, SPAIN

Investigation performed at La Paz University Hospital, Madrid


   Introduction
 
Hemangioma of bone is a benign tumor that usually involves a vertebra or the skull and commonly is found as an incidental asymptomatic lesion. Biopsies are infrequently performed. In a review by Töpfer, 11.9 percent of 2154 autopsies revealed osseous hemangiomas, and one-third of those revealed multiple hemangiomas20. Nevertheless, symptomatic hemangiomas, generally in the skull or a vertebra, have been described. In their series of vascular bone tumors, Dorfman et al. found twenty-four symptomatic hemangiomas; only seven were not located in the skull or a vertebra6.

Intracortical hemangioma is an extremely uncommon condition, that, to the best of our knowledge, has been described in only nine patients5,6,10,15,18,19,21 (Table I). We report two new cases of this entity. In both of our patients, conventional radiography showed an intracortical lytic lesion with characteristic calcification of the trabeculae in a vertical alignment. A computed tomographic scan revealed a radiolucent . . . [Full Text of this Article]


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