Lin TT, Hsu HH, Lee SC, Peng YJ, Ko KH. Dynamic magnetic resonance imaging features of cavernous hemangioma in the manubrium: A case report. World J Clin Cases 2021; 9(17): 4262-4267 [PMID: 34141789 DOI: 10.12998/wjcc.v9.i17.4262]
Corresponding Author of This Article
Kai-Hsiung Ko, MD, Doctor, Department of Radiology, National Defense Medical Center, Tri-Service General Hospital, No. 325 Cheng-Kung Road, Sec. 2, Taipei 114, Taiwan. m860818@gmail.com
Research Domain of This Article
Radiology, Nuclear Medicine & Medical Imaging
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jun 16, 2021; 9(17): 4262-4267 Published online Jun 16, 2021. doi: 10.12998/wjcc.v9.i17.4262
Dynamic magnetic resonance imaging features of cavernous hemangioma in the manubrium: A case report
Tsung-Tai Lin, Hsian-He Hsu, Shih-Chun Lee, Yi-Jen Peng, Kai-Hsiung Ko
Tsung-Tai Lin, Hsian-He Hsu, Kai-Hsiung Ko, Department of Radiology, National Defense Medical Center, Tri-Service General Hospital, Taipei 114, Taiwan
Shih-Chun Lee, Department of Thoracic Surgery, National Defense Medical Center, Tri-Service General Hospital, Taipei 114, Taiwan
Yi-Jen Peng, Department of Pathology, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan
Author contributions: Lin TT reviewed the literature and contributed to manuscript drafting; Hsu HH interpreted the imaging findings and contributed to manuscript drafting; Lee SC performed the surgery; Peng YJ performed the pathological interpretation and contributed to manuscript drafting; all authors issued final approval for the version to be submitted.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kai-Hsiung Ko, MD, Doctor, Department of Radiology, National Defense Medical Center, Tri-Service General Hospital, No. 325 Cheng-Kung Road, Sec. 2, Taipei 114, Taiwan. m860818@gmail.com
Received: December 21, 2020 Peer-review started: December 21, 2020 First decision: March 27, 2021 Revised: April 1, 2021 Accepted: April 23, 2021 Article in press: April 23, 2021 Published online: June 16, 2021
Abstract
BACKGROUND
Osseous hemangiomas, especially those located in the manubrium, are rare benign tumors. In a review of the literature, only three case reports of sternal hemangioma were found. A precise diagnosis is difficult because of their nonspecific findings on computed tomography (CT)/magnetic resonance imaging (MRI).
CASE SUMMARY
An 88-year-old woman was suffering from a progressively enlarging mass in the manubrium. Chest CT images showed an osteolytic and expansile lesion with cortical destruction. Vascular malformation was suspected after CT-guided biopsy. On the dynamic MRI scans, the mass showed a bright signal on the T2-weighted image, peripheral nodular enhancement on the early-phase images and progressive centripetal fill-in on the delayed-phase images. Cavernous hemangioma was suspected preoperatively based on the MRI features and finally confirmed by histopathologic analysis.
CONCLUSION
This uncommon case demonstrates the possible characteristic features of manubrium cavernous hemangioma on dynamic MRI scans; knowledge about these features may prevent patients from developing catastrophic complications, such as rupture or internal hemorrhage, caused by biopsy or surgery.
Core Tip: Osseous hemangiomas, especially those located in the manubrium, are rare benign tumors. We presented a case suffering from a progressively enlarging mass in the manubrium. Chest computed tomography images showed aggressive appearance and the dynamic magnetic resonance imaging scans revealed progressive centripetal fill-in on the delayed-phase images. The diagnosis of cavernous hemangioma was confirmed after surgery. This uncommon case demonstrates the possible characteristic features of manubrium cavernous hemangioma on dynamic MRI scans.
