Aggressive hemangioma starting from l5 body, treated with mass embolization and radiation therapy with protons: a case report

R Vanelli, M Ghiara, E Jannelli, M C Rivellino, E Ferranti Calderoni, M R Fiore, F Benazzo, F Cuzzocrea

Article ID: 6363
Vol 32, Issue 6S1, 2018
DOI: https://doi.org/10.54517/jbrha6363
Received: 8 January 2019; Accepted: 8 January 2019; Available online: 8 January 2019; Issue release: 8 January 2019

Abstract

A hemangioma is a benign tumor of endothelial cells, multiplying into the medullary spaces of the cancellous bone. This tumor is in most cases not symptomatic, and in this case, they do not require any specific treatment. Pain and neurological symptoms derived from hemangiomas as shown in 2-11% of the cases. The 55% of these cases presents low back pain, while the 45% presents neurological deficit from compression of the spinal cord, peripheral nerves or both. We present a clinical case report of a young woman, affected by aggressive L5 hemangioma causing a spinal canal stenosis with associated sciatalgic symptoms. We performed a review of the current literature on the treatment options, giving the rationale of our treatment choice (mass embolization and radiation therapy with protons).


Keywords

hemangioma;lumbar column;radiation therapy;protons;embolization


References

Supporting Agencies



Copyright (c) 2018 R Vanelli, M Ghiara, E Jannelli, M C Rivellino, E Ferranti Calderoni, M R Fiore, F Benazzo, F Cuzzocrea




This site is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0).