Acta Orthopaedica et Traumatologica Turcica

Epithelioid hemangioma of the scapula treated with chemoembolization and microwave ablation: ? case report

AOTT 2018; 52: 157-161
DOI: 10.1016/j.aott.2017.01.003
Read: 208 Downloads: 116 Published: 06 February 2020

Bone epithelioid hemangiomas are classified within benign vascular tumours but are commonly misdiagnosed as low-grade angiosarcomas or epithelioid hemangioendotheliomas. Current therapeutic interventions include various treatment options but local recurrence or distal lymph node involvement has been reported. We report a rare case of scapular epithelioid hemangioma that was initially treated using a combination of chemoembolization and microwave ablation. This combination has not been previously reported in the literature regarding the management of this tumour. A year after the first course of treatment, the tumour size has been reduced more than 70% and the patient has remarkable clinical improvement. Results reported in this case study demonstrated that combination of chemoembolization and microwave ablation is a feasible, safe and effective technique in the treatment of bone epithelioid hemangiomas. Even if the tumour is still present afterwards, a substantially smaller surgical excision will be needed.
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  • Epithelioid hemangioma
  • Chemoembolization
  • Microwave ablation
  • Scapula




ISSN 1017-995X EISSN 2589-1294