Epithelioid hemangioma of the scapula treated with chemoembolization and microwave ablation: Α case report.
Bone epithelioid hemangiomas are classified within benign vascular tumours but are commonly misdiagnosed as low-grade angiosarcomas or epithelioid hemangioendotheliomas. Current therapeutic interventions include various treatment options but local recurrence or distal lymph node involvement has been reported. We report a rare case of scapular epithelioid hemangioma that was initially treated using a combination of chemoembolization and microwave ablation. This combination has not been previously reported in the literature regarding the management of this tumour. A year after the first course of treatment, the tumour size has been reduced more than 70% and the patient has remarkable clinical improvement. Results reported in this case study demonstrated that combination of chemoembolization and microwave ablation is a feasible, safe and effective technique in the treatment of bone epithelioid hemangiomas. Even if the tumour is still present afterwards, a substantially smaller surgical excision will be needed.
1st Orthopaedic Department, 424 Army General Training Hospital, Thessaloniki, Greece. Electronic address: kostastsikop@gmail.com.
Konstantinos
K
Tsikopoulos
Department of Interventional Radiology, 424 Army General Training Hospital, Thessaloniki, Greece.
Evangelos
E
Perdikakis
1st Orthopaedic Department, 424 Army General Training Hospital, Thessaloniki, Greece.
Dimitrios
D
Georgiannos
1st Orthopaedic Department, 424 Army General Training Hospital, Thessaloniki, Greece.
Ilias
I
Bisbinas
D055011:Ablation Techniques / Q000379:methods; D001859:Bone Neoplasms / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D016461:Chemoembolization, Therapeutic / Q000379:methods*; D018323:Hemangioendothelioma, Epithelioid / Q000175:diagnosis; D006391:Hemangioma / Q000473:pathology / Q000503:physiopathology / Q000601:surgery; D006394:Hemangiosarcoma / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012540:Scapula / Q000473:pathology*; D016896:Treatment Outcome
Chemoembolization; Epithelioid hemangioma; Microwave ablation; Scapula