The Journal of the Korean bone and joint tumor society (대한골관절종양학회지)

The Korean Musculoskeletal Tumor Society (대한근골격종양학회)
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Juvenile Hemangioma Occurred in Distal Femoral Epiphysis

소아의 대퇴골 원위부 골단에 발생한 혈관종

  • Kim, Tai-Seung (Department of Orthopedic Surgery, Hanyang University College of Medicine) ;
  • Lee, Chang-Hoon (Department of Orthopedic Surgery, Guri Hospital, Hanyang University College of Medicine) ;
  • Park, Chan-Keum (Department of Pathology, Hanyang University College of Medicine)
  • 김태승 (한양대학교 의과대학 정형외과학교실) ;
  • 이창훈 (한양대학교 의과대학 구리병원 정형외과) ;
  • 박찬금 (한양대학교 의과대학 병리학교실)
  • Received : 2010.04.06
  • Accepted : 2010.06.09
  • Published : 2010.06.30
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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.

골성 골단에서 발생하는 혈관종은 극히 드물어서 그 보고를 찾아보기가 쉽지 않다. 우측 슬관절부 동통과 굴곡 구축을 주소로 내원한 5세 환아로 단순 방사선 및 자기공명영상 소견상, 대퇴골 원위부 골단 및 근위부 경골에서 병변을 보였으며, 생검한 결과 혈관종으로 진단되었다. 8년간 추시 관찰하였으며, 대퇴골 원위부 골단에 발생한 혈관종은 치유되었으며, 경골 근위부 골단에 발생한 병변도 치료없이 자연적으로 소실되었다. 또한, 하지 길이의 단축이나 슬관절 기능 장애는 발생하지 않았다.

Keywords

References

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