title: Symptomatic vertebral hemangioma: treatment with radiotherapy.
abstract: BACKGROUND
  Vertebrae are the second commonest site among skeletal locations affected by hemangioma, but only about one per cent becomes symptomatic throughout the life. Though surgery, intra vertebral injection of various sclerosing agents have been tried in treating this benign process, no general consensus regarding management has been reached. Radiotherapy is emerging as a low cost, simple, non-invasive but very effective modality of treatment of symptomatic vertebral hemangioma.
  
  
  OBJECTIVE
  This study aims to find out the role of external beam radiotherapy in alleviating the symptoms of symptomatic vertebral hemangiomas without compromising the quality of life.
  
  
  METHODS
  Seven consecutive patients with symptomatic vertebral hemangioma were treated with a fixed dose of external beam radiotherapy; and muscle power was assessed before, after treatment and during follow-up.
  
  
  RESULTS
  All patients showed improvement of muscle power, which increased with the passage of time. Pain relief with improvement of quality of life was obtained in all the patients.
  
  
  CONCLUSIONS
  Effect of radiotherapy on vertebral hemangioma is dose-dependent and the dose limiting factor is the spinal cord tolerance. In the present era of IMRT, greater dose can be delivered to the parts of vertebra affected by the hemangioma without compromising the spinal cord tolerance and expected to give better results.
authors.affiliation: Department of Radiotherapy, Nil Ratan Sirkar Medical College, Kolkata, India.
authors.forename: Ranen K
authors.initials: RK
authors.lastname: Aich
authors.forename: Asit R
authors.initials: AR
authors.lastname: Deb
authors.forename: Abhijit
authors.initials: A
authors.lastname: Banerjee
authors.forename: Rejaul
authors.initials: R
authors.lastname: Karim
authors.forename: Phalguni
authors.initials: P
authors.lastname: Gupta
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006391:Hemangioma / Q000532:radiotherapy*; D006801:Humans; D008159:Lumbar Vertebrae / Q000528:radiation effects*; D008297:Male; D008875:Middle Aged; D018908:Muscle Weakness / Q000473:pathology*; D011879:Radiotherapy Dosage; D013125:Spinal Neoplasms / Q000532:radiotherapy*; D016896:Treatment Outcome