If left untreated, symptomatic hemangiomas can cause serious neurological effects. At UPMC, we treat hemangiomas with surgical removal (resection) of the tumor or the affected vertebra, and radiation therapy to treat pain. Ethanol injections and laminectomy may also be performed.
How serious is a spinal hemangioma?
Spinal hemangiomas are benign (noncancerous) tumors that develop from the blood vessels. These tumors are the most common type of benign spinal tumor and occur in approximately 10 percent of the world’s population. The vast majority are asymptomatic, but in some cases, they can cause pain and neurological issues.
Can spinal hemangioma become malignant?
The diagnosis of vertebral hemangioma is very crucial and can be challenging in some cases. It may mimic malignant lesions in both clinical and radiological behavior . Hemangiomas can be aggressive, compressing the spinal cord with paraparesis and spasticity as in our case.
Can spinal hemangiomas go away?
Proliferation subsequently causes a displacement of bone and in rarer cases erosion into the spinal canal. Unlike infantile hemangiomas, hemangiomas of the spine do not spontaneously regress.
What type of doctor treats a spinal hemangioma?
However, in a few cases, symptoms can arise when a spinal hemangioma tumor places pressure on the vertebra and causes pain. In these circumstance if the condition is not treated, it could result in serious neurological damage. These conditions are best treated by an orthopedic oncologist with a skill set like Dr.
Can a hemangioma of the spine be caused by trauma?
Also, in many patients with hemangioma of the skin, trauma has been regarded as an etiological factor [2, 3]. Recurrent trauma is thought to induce the growth of the hemangioma by mechanical irritation, which stimulates blood flow into preexisting lesions.
What is the best treatment for hemangioma?
Treatment options for hemangiomas
- Corticosteroid medication. Corticosteroids may be injected into a hemangioma to reduce its growth and to stop inflammation. …
- Laser treatment. Laser treatment can be used to remove hemangiomas on the top layers of the skin. …
- Medicated gel. …
- Surgery. …
- For hemangiomas on the organs.
Can hemangioma become cancerous?
Because hemangiomas very rarely become cancerous, most do not require any medical treatment. However, some hemangiomas can be disfiguring, and many people seek a doctor’s care for cosmetic reasons. In most cases of hemangioma, treatment does not involve surgery.
Can a spinal hemangioma grow?
Benign Spinal Tumors:
Hemangiomas, Aggressive: A variant of benign hemangiomas, aggressive hemangiomas can increase in size and extend outside the bone into the soft tissue.
Can spinal hemangioma cause paralysis?
Rarely, vertebral hemangiomas will cause compressive neurological symptoms, such as radiculopathy, myelopathy and paralysis. In these cases the clinical presentation is usually the subacute or delayed onset of progressive neurological symptoms.
Do spinal hemangiomas cause pain?
Most hemangiomas are symptom-free, but symptoms may include: Back pain. Pain that radiates along a nerve due to inflammation or irritation of the nerve root. Spinal cord compression.
Can spinal hemangiomas be misdiagnosed?
Unfortunately, not all hemangiomas have the typical appearance, and they can mimic metastases on routine MR imaging. These are generally referred to as atypical hemangiomas and can result in misdiagnosis and ultimately additional imaging, biopsy, and unnecessary costs.
Do spinal hemangiomas need to be removed?
In most cases, vertebral hemangioma has a benign course and surgery is not required.
How is a spinal hemangioma diagnosed?
To diagnose a spinal hemangioma, you might need an MRI or CT scan to look for damage to your nerves, spinal column or spinal canal, as well as compression of your spinal cord. Your doctor may also prescribe an X-ray to look for a specific honeycomb- or lattice-shaped mass within your bone.
What are the two types of hemangiomas?
There are 2 major types: the rapidly involuting congenital hemangioma (RICH) and the noninvoluting congenital hemangioma (NICH). Both RICH and NICH are usually solitary and are most commonly found on the head or on the limbs, near a joint.