Dr. Francisco Bengoa
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Bone tumors

Epithelioid hemangioma of bone

BoneIntermediate / locally aggressive or rarely metastasizingVascular tumours of bone

Epidemiology

A rare vascular tumor of bone that can be multifocal and can affect young or middle-aged adults. When it affects more than one bone, the workup seeks to distinguish multifocality from disseminated disease.

Basic features

It can mimic infection, metastasis, or other vascular tumors, which is why a pathology-based diagnosis is important. Many cases show a rearrangement of the FOS or FOSB gene, useful to confirm it and to distinguish it from a malignant vascular tumor.

Usual treatment

It is managed with curettage, resection, embolization, or radiotherapy, depending on the number of lesions, the location, and the symptoms.

Outcomes and prognosis

It usually carries a low risk of metastasis, but it can recur or persist locally and requires individualized follow-up.

Warning signs

These signs do not necessarily mean cancer, but they warrant evaluation before operating on or needling a mass.

  • A soft-tissue mass that grows, is larger than 5 cm, or is deep.
  • Persistent, night-time or progressive bone pain, especially if it limits activity.
  • A fracture from minimal trauma, or an aggressive bone lesion on an X-ray.
  • A lump that comes back after previous surgery.
  • Neurological symptoms, rapid swelling, or pain associated with a mass.

This information is general and does not replace a medical evaluation. A musculoskeletal tumor must be interpreted together with imaging, physical examination, biopsy when appropriate and each patient's context.

Specialist evaluation

If you have a mass, a bone lesion or a report suggesting a tumor, book an evaluation.

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