Synonyms

• Cavernous hemangioma of Bone
• vertebral hemangioma

Category

Bone

Behaviour

Benign

Gender

Female

Tissue of Origin

Vascular

Epidemiology

• Common Benign Vascular lesion
• Female predominance
• Often incidental
• Vertebral most common

Clinical Features

• Usually asymptomatic
• Incidental finding
• Vertebral: occasionally back pain or radiculopathy

Location

• Spine/vertebrae (most common)
• Pelvis
• Long Bones
• Skull

Imaging

• Plain radiograph: well-defined lytic lesion with coarse trabeculations (honeycomb pattern)
• MRI: T1 and T2 bright (Vascular)

Pathology

• Benign Vascular channels
• Cavernous or capillary type

Genetics

Sporadic

Treatment

• Observation: standard for asymptomatic lesions
• Intervention if symptomatic or causing cord compression

Prognosis

Benign with excellent prognosis

Key Points

• Benign incidental finding
• Observation appropriate for asymptomatic lesions

Workup - Blood Tests

No tests required

Workup - Local Imaging

• Plain radiograph: honeycomb pattern characteristic
• MRI if symptomatic or needing further evaluation

Workup - Biopsy

Not required

Workup - Staging

No staging required

Workup - Other

Neurological assessment if spinal involvement