Multiple intraosseous hemangiomas-investigation and role of N-butylcyanoacrylate in management.
BACKGROUND
Primary intraosseous hemangiomas are rare (0.7% of all osseous neoplasms), benign, slow-growing neoplasms. These lesions are usually solitary. We are reporting a case of multicentric intraosseous hemangiomas. Investigation, treatment options, and role of N-butylcyanoacrylate (NBCA) in management will be discussed.


RESULTS
A 20-year-old man had multicentric intraosseous hemangiomas involving the skull bones, mandible, vertebra, pelvic bone, and tibial tuberosity. N-butylcyanoacrylate was used by direct puncture technique using a transosseous transcutaneous route to control profuse bleeding from the retromolar region.


CONCLUSIONS
To the best of our knowledge, this is the first reported case with such extensive multicentric intraosseous hemangiomas. N-butylcyanoacrylate by direct puncture technique can be an effective method to devascularize and stabilize low-flow intraosseous vascular tumors.
Syal
Rajan
R
Neuro-otology Unit, Department of Neuro-Surgery, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Raibareily Road, Lucknow, Uttar Pradesh 226 014, India. drrajansyal@yahoo.co.in
Tyagi
Isha
I
Goyal
Amit
A
Barai
Sukanto
S
Parihar
Anit
A
D000328:Adult; D001859:Bone Neoplasms / Q000175:diagnosis / Q000628:therapy*; D003952:Diagnostic Imaging; D019583:Dose Fractionation, Radiation; D004621:Embolization, Therapeutic; D004659:Enbucrilate / Q000627:therapeutic use*; D006391:Hemangioma / Q000175:diagnosis / Q000628:therapy*; D006490:Hemostatics / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008334:Mandible / Q000473:pathology; D010384:Pelvic Bones / Q000473:pathology; D012886:Skull / Q000473:pathology; D013131:Spine / Q000473:pathology; D013977:Tibia / Q000473:pathology
D006490:Hemostatics; D004659:Enbucrilate