Kohei Nagamine1, Kohei Kanaya2, Yosuke Miyairi1, Yoshifumi Ogiso3, Hiroaki Shigeta1. 1. Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan. 2. Department of Neurosurgery, Nagano Children's Hospital, 3100 Toyoshina, Azumino, 399-8288, Japan. kanaya@shinshu-u.ac.jp. 3. Department of Clinical Laboratory, Nagano Children's Hospital, Azumino, Japan.
Abstract
INTRODUCTION: Primary intraosseous cavernous hemangiomas of the skull are very rare in the pediatric age group and usually slow-growing tumors. CASE REPORT: We present a case of 5-month-old girl with a left occipital cavernous hemangioma that is rapidly growing. The subcutaneous occipital tiny mass was first noted at birth, and the lesion became rapidly enlarged in size and became soft for 3 months. The left occipital subcutaneous lesion was 4.0 × 4.0 × 2.0 cm (AP × LR × HT) in size. There was no history of trauma or bone tumor in her family. She underwent resection of the lesion, and a pathologic diagnosis of calvarial cavernous hemangioma was made. No recurrence was seen 1 year after surgery. CONCLUSION: The rapid growth of the infant cavernous hemangioma might be related to not only bleeding and/or congestion of the lesion but the immature thin skull of the infant.
INTRODUCTION: Primary intraosseous cavernous hemangiomas of the skull are very rare in the pediatric age group and usually slow-growing tumors. CASE REPORT: We present a case of 5-month-old girl with a left occipital cavernous hemangioma that is rapidly growing. The subcutaneous occipital tiny mass was first noted at birth, and the lesion became rapidly enlarged in size and became soft for 3 months. The left occipital subcutaneous lesion was 4.0 × 4.0 × 2.0 cm (AP × LR × HT) in size. There was no history of trauma or bone tumor in her family. She underwent resection of the lesion, and a pathologic diagnosis of calvarial cavernous hemangioma was made. No recurrence was seen 1 year after surgery. CONCLUSION: The rapid growth of the infant cavernous hemangioma might be related to not only bleeding and/or congestion of the lesion but the immature thin skull of the infant.
Authors: Juan F Martínez-Lage; María-Amparo Torroba; Beatriz Cuartero Pérez; María-José Almagro; Antonio López López-Guerrero; Pedro de la Rosa Journal: Childs Nerv Syst Date: 2010-04-20 Impact factor: 1.475