Multidisciplinary, articular surface-preserving treatment strategy for locally aggressive epithelioid hemangioma of the acetabulum employing serial bland transarterial embolization Journal Article


Authors: Abboud, S.; Bhatt, A.; Pateva, I.; Saab, S.; Hameed, M.; Healey, J.; Getty, P.
Article Title: Multidisciplinary, articular surface-preserving treatment strategy for locally aggressive epithelioid hemangioma of the acetabulum employing serial bland transarterial embolization
Abstract: Epithelioid hemangioma is a rare, histologically benign but locally aggressive primary vascular neoplasm that can rarely arise in bone. Mainstay treatment is surgical resection or curettage with bone grafting. We report a novel multidisciplinary, joint-sparing treatment approach for an epithelioid hemangioma of bone arising in the acetabulum causing severe thinning of the subchondral bone plate. After 4 sessions of transarterial bland particle and ethanol embolization, the resultant increased ossification of the tumor allowed preservation of the articular surface during surgical resection. Imaging follow-up 14 months after surgical resection showed no evidence of recurrence and continued ossification of the portions of the lesion treated only with embolization. © 2022, ISS.
Keywords: bone neoplasms; bone tumor; bone transplantation; vascular neoplasms; pathology; diagnostic imaging; vascular tumor; surgery; hemangioma; curettage; procedures; acetabulum; humans; human; epithelioid hemangioma; vascular anomalies
Journal Title: Skeletal Radiology
Volume: 51
Issue: 7
ISSN: 0364-2348
Publisher: Springer  
Date Published: 2022-07-01
Start Page: 1493
End Page: 1498
Language: English
DOI: 10.1007/s00256-021-03977-4
PUBMED: 35001142
PROVIDER: scopus
DOI/URL:
Notes: Article -- Export Date: 1 June 2022 -- Source: Scopus
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  1. Meera Hameed
    282 Hameed
  2. John H Healey
    550 Healey