Juvenile Hemangioma Occurred in Distal Femoral Epiphysis

Tai-Seung Kim; Chang-Hoon Lee; Chan-Keum Park

doi:10.5292/jkbjts.2010.16.1.37

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Kim, Lee, and Park: Juvenile Hemangioma Occurred in Distal Femoral Epiphysis

Case Report

J Korean Bone Joint Tumor Soc 2010;16(1):37-41.

Published online: 17 December 2010

DOI: https://doi.org/10.5292/jkbjts.2010.16.1.37

Juvenile Hemangioma Occurred in Distal Femoral Epiphysis

Tai-Seung Kim, M.D., Chang-Hoon Lee, M.D.^∗, Chan-Keum Park, M.D.^†

Department of Orthopedic Surgery, Hanyang University College of Medicine, Seoul, Korea

^∗Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine, Guri, Korea

^†Department of Pathology, Hanyang University College of Medicine, Seoul, Korea

Correspondence to: Tai-Seung Kim, M.D. Department of Orthopaedic Surgery, College of Medicine, Hanyang University, 17, Haengdang-dong, Seongdong-gu, Seoul 133-792, Korea TEL: +82-2-2290-8485 FAX: +82-2-2299-3774 E-mail: kimts@hanyang.ac.kr

Received 6 April 201030 May 2010 Accepted 9 June 2010

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

A hemangioma occurred in the bony epiphysis is extremly rare. A 5-year-old boy visited to our hospital with pain and flexion contracture on the right knee. MRI showed some lesions scattered in the epiphysis of the distal femur and the proximal tibia. Biopsy specimen from the distal femoral epiphysis revealed pathologic findings compatible with hemangioma. On 8 years followup, the lesion in the distal femoral epiphysis had been cured, and those in the proximal tibial epiphysis were spontaneously disappeared without surgery. The scanogram shows no leg length discrepancy and angular deformity. We reports a rare case of hemangioma occurred in the bony epiphysis with the results of 8 year followup with the review of literatures.

Keywords: femur, epiphysis, hemangioma

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Figure 1.

Anteroposterior (A) and lateral (B) radiographs of the right knee show osteolytic lesion in the distal femoral epiphysis.

Figure 2.

Sagittal CT image shows osteolytic lesion involving distal femoral epiphyseal plate.

Figure 3.

Coronal T2-weighted magnetic resonance image shows high signal in tumor.

Figure 4.

Coronal T1-weighted magnetic resonance image shows heterogenous high signal image in tumor.

Figure 5.

Microscpic finding shows lobular growth of plump endothelial cells lining vascular spaces with small incospicious lumens.

Figure 6.

Application of Ilizarov apparatus for flexion contracture.

Figure 7.

Anteroposterior (A) and lateral (B) radiographs of right knee the 8-year followup show no evidence of hemangioma.

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