Korean Journal of Head & Neck Oncology (대한두경부종양학회지)

The Korean Society for Head and Neck Oncology (대한두경부종양학회)
권호 표지
DOI QR코드

DOI QR Code

Intraosseous Hemangioma of the Zygoma: A Case Report

광대뼈에 발생한 뼈내혈관종의 증례 보고

  • Jeong, Minkyoung (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Kwon, Yongseok (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Jun, Dongkeun (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Lee, Myungchul (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Kim, Jeenam (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Shin, Donghyeok (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center) ;
  • Kim, Wan-seop (Department of Pathology, Konkuk University Medical Center) ;
  • Choi, Hyungon (Department of Plastic and Reconstructive Surgery, Konkuk University Medical Center)
  • 정민경 (건국대학교병원 성형외과학교실) ;
  • 권용석 (건국대학교병원 성형외과학교실) ;
  • 전동근 (건국대학교병원 성형외과학교실) ;
  • 이명철 (건국대학교병원 성형외과학교실) ;
  • 김지남 (건국대학교병원 성형외과학교실) ;
  • 신동혁 (건국대학교병원 성형외과학교실) ;
  • 김완섭 (건국대학교병원 병리과학교실) ;
  • 최현곤 (건국대학교병원 성형외과학교실)
  • Received : 2020.11.03
  • Accepted : 2021.03.23
  • Published : 2021.05.31
Download PDF
⟨ Previous Next ⟩

Abstract

Intraosseous hemangioma is a rare, benign vascular tumor of endothelial origin. It accounts for fewer than 1% of all hemangiomas, and very rarely occurs in the face. Intraosseous hemangioma usually presents as an asymptomatic lesion, but symptoms can occur due to the mass effect. The authors describe a case of intraosseous hemangioma of the zygoma with a review of the relevant literature. A 44-year-old man presented with a chief complaint of painless swelling on the left zygomatic region that had been slowly growing for the past year. On physical examination, a hard, non-movable mass in a deep layer was palpated. On computed tomography performed to evaluate its layers and extent, trabeculation was found inside the mass, but the lack of destruction of the surrounding bone suggested that the mass was benign. Complete surgical excision was performed under local anesthesia. After complete excision of the mass, slight erosions remained on the cortical bone of the zygoma, but because it was small enough not to cause a facial deformity such as depression or asymmetry, no additional reconstructive procedure was performed. There were no symptoms or recurrence during a 8-month follow-up period.

Keywords

Acknowledgement

The study was approved by the Institutional Review Board of Konkuk University Hospital (IRB No. KUH 2020-10-020) and performed in accordance with the principles of the Declaration of Helsinki. Written informed consent was obtained.

References

  1. Moore SL, Chun JK, Mitre SA, Som PM. Intraosseous hemangioma of the zygoma: CT and MR findings. AJNR Am J Neuroradiol. 2001;22:1383-1385.
  2. Richter GT, Friedman AB. Hemangiomas and vascular malformations: current theory and management. Int J Pediatr. 2012; 2012:645678. https://doi.org/10.1155/2012/645678
  3. Vural M, Acikalin MF, Adapinar B, Atasoy MA. Congenital cavernous hemangioma of the calvaria. J Neurosurg Pediatr. 2009; 3:41-45. https://doi.org/10.3171/2008.10.PEDS08161
  4. Wenger DE, Wold LE. Benign vascular lesions of bone: radiologic and pathologic features. Skeletal Radiol. 2000;29:63-74. https://doi.org/10.1007/s002560050012
  5. Murphey MD, Fairbairn KJ, Parman LM, Baxter KG, Parsa MB, Smith WS. From the archives of the AFIP. Musculoskeletal angiomatous lesions: radiologic-pathologic correlation. Radiographics. 1995;15:893-917. https://doi.org/10.1148/radiographics.15.4.7569134
  6. Cheng NC, Lai DM, Hsie MH, Liao SL, Chen YB. Intraosseous hemangiomas of the facial bone. Plast Reconstr Surg. 2006;11: 2366-2372.
  7. Goncalves FG, Rojas JP, Hanagandi PB, Valente R, Torres CI, Chankwosky J, et al. Case report: Periorbital intraosseous hemangiomas. Indian J Radiol Imaging. 2011;21:287-290. https://doi.org/10.4103/0971-3026.90691
  8. Choi JS, Bae YC, Kang GB, Choi K-U. Intraosseous hemangioma of the orbit. Arch Craniofac Surg. 2018;19:68-71. https://doi.org/10.7181/acfs.2018.19.1.68
  9. Nielsen GP, Rosenberg AE. Update on bone forming tumors of the head and neck. Head Neck Pathol. 2007;1:87-93. https://doi.org/10.1007/s12105-007-0023-4
  10. Bastug D, Ortiz O, Schochet SS. Hemangiomas in the calvaria: imaging findings. American Journal of Roentgenology. 1995; 164:683-687. https://doi.org/10.2214/ajr.164.3.7863894
  11. Madge SN, Simon S, Abidin Z, Ghabrial R, Davis G, McNab A, et al. Primary orbital intraosseous hemangioma. Ophthalmic Plast Reconstr Surg. 2009;25:37-41. https://doi.org/10.1097/IOP.0b013e318192a27e
  12. Kalsi H, Scannell J. Unusual presentation of an intraosseous hemangioma of the maxilla and displaced canine. Int J Clin Pediatr Dent. 2013;6:124-126. https://doi.org/10.5005/jp-journals-10005-1203
  13. Sary A, Yavuzer R, Latfoglu O, Celebi MC. Intraosseous zygomatic hemangioma. Ann Plast Surg 2001;46:659-660. https://doi.org/10.1097/00000637-200106000-00023
  14. Taylan G, Yildirim S, Gideroglu K, Akoz T. Conservative approach in a rare case of intrazygomatic hemangioma. Plast Reconstr Surg. 2003;112:1490-1492. https://doi.org/10.1097/01.PRS.0000080511.23265.24
  15. Zins JE, Turegun MC, Hosn W, Bauer TW. Reconstruction of intraosseous hemangiomas of the midface using split calvarial bone grafts. Plast Reconstr Surg. 2006;117:948-953. https://doi.org/10.1097/01.prs.0000204768.82643.0c
  16. Gomez E, Gonzalez T, Arias J, Lasaletta L. Three-dimensional reconstruction after removal of zygomatic intraosseous hemangioma. Oral Maxillofac Surg. 2008;12:159-162. https://doi.org/10.1007/s10006-008-0115-7
  17. Arribas-Garcia I, Alcala-Galiano A, Fernandez Garcia A, Montalvo JJ. Zygomatic intraosseous haemangioma: reconstruction with an alloplastic prosthesis based on a 3-D model. J Plast Reconstr Aesthet Surg. 2010;63:e451-e453. https://doi.org/10.1016/j.bjps.2009.07.033
  18. Defazio MV, Kassira W, Camison L, Meshkov L, Robinson PG, Kawamoto HK, et al. Intraosseous venous malformations of the zygoma: clarification of misconceptions regarding diagnosis and management. Ann Plast Surg. 2014;72:323-327. https://doi.org/10.1097/SAP.0b013e3182605690