Aggressive vertebral hemangiomas in asymptomatic patients: A review
| Autor: | Ricardo Vieira Botelho, Caio França, Emílio Afonso França Fontoura, Rayan Santos, Cezar Kabbach Calaça Prigenzi, Victor Guimarães |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
MEDLINE Review Article Asymptomatic Spinal neoplasms Benign tumor Hemangioma 03 medical and health sciences 0302 clinical medicine medicine In patient Vertebral hemangiomas Vertebra business.industry medicine.disease Spine Natural history medicine.anatomical_structure 030220 oncology & carcinogenesis Surgery Neurology (clinical) Radiology medicine.symptom business 030217 neurology & neurosurgery |
| Zdroj: | Surgical Neurology International |
| ISSN: | 2152-7806 |
| DOI: | 10.25259/sni_683_2020 |
| Popis: | Background:Hemangioma is the most common benign tumor of the spine. Most patients are asymptomatic, but some lesions can become aggressive, leading to spinal compression. Here, we reviewed the natural history and treatment of aggressive hemangiomas in asymptomatic patients.Methods:An electronic review of the literature was performed regarding the diagnosis/treatment modalities for asymptomatic aggressive hemangiomas of the spine utilizing the Medline (PubMed) and Google Scholar databases.Results:We selected four articles describing the diagnosis/management of four cases of aggressive, asymptomatic hemangiomas in patients averaging 11.25 ± 2.36 years of age. Three of the four patients were females, and all were followed an average of 36.5 ± 25 months. Notably, two of four patients required emergency surgery.Conclusion:There is a paucity of the literature regarding the diagnosis and optimal therapeutic management of aggressive hemangiomas in asymptomatic patients, half of whom may present with acute neurological deterioration warranting emergency surgery. |
| Databáze: | OpenAIRE |
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