J Korean Bone Joint Tumor Soc.  2010 Jun;16(1):37-41. 10.5292/jkbjts.2010.16.1.37.

Juvenile Hemangioma Occurred in Distal Femoral Epiphysis

• Kim TS
• Lee CH
• Park CK

• KMID: 2006340
• DOI: http://doi.org/10.5292/jkbjts.2010.16.1.37

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 follow-up, 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 follow-up with the review of literatures.

Keyword

femur; epiphysis; hemangioma

MeSH Terms

Biopsy
Congenital Abnormalities
Contracture
Epiphyses
Femur
Follow-Up Studies
Hemangioma
Knee
Leg
Preschool Child
Tibia

Figure

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  Figure 1. Anteroposterior (A) and lateral (B) radiographs of the right knee show osteolytic lesion in the distal femoral epiphysis.

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  Figure 2. Sagittal CT image shows osteolytic lesion involving distal femoral epiphyseal plate.

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  Figure 3. Coronal T2-weighted magnetic resonance image shows high signal in tumor.

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  Figure 4. Coronal T1-weighted magnetic resonance image shows heterogenous high signal image in tumor.

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  Figure 5. Microscpic finding shows lobular growth of plump endothelial cells lining vascular spaces with small incospicious lumens.

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  Figure 6. Application of Ilizarov apparatus for flexion contracture.

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  Figure 7. Anteroposterior (A) and lateral (B) radiographs of right knee the 8-year followup show no evidence of hemangioma.

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