Author/Authors :
Itabashi, Takahide Department of Orthopaedic Surgery - Sapporo Medical University School of Medicine, Japan , Emori, Makoto Department of Orthopaedic Surgery - Sapporo Medical University School of Medicine, Japan , Terashima, Yoshinori Department of Orthopaedic Surgery - Sapporo Medical University School of Medicine, Japan , Hasegawa, Tadashi Department of Surgical Pathology - Sapporo Medical University School of Medicine, Japan , Shimizu, Junya Department of Orthopaedic Surgery - Sapporo Medical University School of Medicine, Japan , Nagoya, Satoshi Department of Musculoskeletal Biomechanics and Surgical Development - Sapporo Medical University School of Medicine, Japan , Yamashita, Toshihiko Department of Orthopaedic Surgery - Sapporo Medical University School of Medicine, Japan
Abstract :
Hemangioma of the rib is a rare benign tumor that is often difficult to distinguish from malignant bone tumors. Rib hemangioma often shows bony disruption with a slight cortical disruption, extraosseous lesion, and expanded bone on computed tomography (CT). We report the case of a 68-year-old man with atypical rib hemangioma with a slight cortical disruption and no expanded bone. The tumor showed relatively high 18FDG-uptake on positron emission tomography (PET)/CT. Rib hemangioma often shows higher 18FDG-uptake. PET/CT may not provide useful information for distinguishing rib hemangioma from a malignant tumor. Close observation without surgical resection may be feasible if the tumor is diagnosed as a rib hemangioma by biopsy.
Keywords :
18F-fluorodeoxyglucose (FDG) , computed tomography (CT) , hemangioma , rib , positron emission tomography (PET)