Giant vertebral hemangioma masquerading as aggressive tumor: Tc-99m tagged RBC scan can help to solve the diagnostic conundrum!

Islam Ahmed Shehata Elhelf; Ravishankar Pillenahalli Maheshwarappa; Jared Hodgson; Christina K. Hodgson; Janet Pollard; Yusuf Menda

doi:10.1016/j.radcr.2019.08.016

Giant vertebral hemangioma masquerading as aggressive tumor: Tc-99m tagged RBC scan can help to solve the diagnostic conundrum!

Islam Ahmed Shehata Elhelf, Ravishankar Pillenahalli Maheshwarappa, Jared Hodgson, Christina K. Hodgson, Janet Pollard, Yusuf Menda

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

Hemangiomas are the most common benign lesions involving the spine. Metastasis is the most common malignant condition. The diagnosis of typical hemangiomas on conventional CT and MRI imaging is straightforward. However, when the hemangiomas are very large they may have atypical features making their diagnosis on these conventional imaging modalities inconclusive. In such cases nuclear medicine techniques such as Tc-99m RBC may aid in resolving the diagnostic conundrum. Awareness and use of proper diagnostic modality can prevent unnecessary biopsy. In this case report we try to highlight the added value of Tc-99m RBC scan to conventional imaging techniques in differentiating giant vertebral hemangioma from more aggressive malignant tumors.

Original language	English (US)
Pages (from-to)	1360-1363
Number of pages	4
Journal	Radiology Case Reports
Volume	14
Issue number	11
DOIs	https://doi.org/10.1016/j.radcr.2019.08.016
State	Published - Nov 2019
Externally published	Yes

Keywords

Aggressive
Giant vertebral hemangioma
Mimic
Tc-99m tagged RBC scan
Tumor

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging

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10.1016/j.radcr.2019.08.016

Cite this

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title = "Giant vertebral hemangioma masquerading as aggressive tumor: Tc-99m tagged RBC scan can help to solve the diagnostic conundrum!",

abstract = "Hemangiomas are the most common benign lesions involving the spine. Metastasis is the most common malignant condition. The diagnosis of typical hemangiomas on conventional CT and MRI imaging is straightforward. However, when the hemangiomas are very large they may have atypical features making their diagnosis on these conventional imaging modalities inconclusive. In such cases nuclear medicine techniques such as Tc-99m RBC may aid in resolving the diagnostic conundrum. Awareness and use of proper diagnostic modality can prevent unnecessary biopsy. In this case report we try to highlight the added value of Tc-99m RBC scan to conventional imaging techniques in differentiating giant vertebral hemangioma from more aggressive malignant tumors.",

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year = "2019",

month = nov,

doi = "10.1016/j.radcr.2019.08.016",

language = "English (US)",

volume = "14",

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AU - Elhelf, Islam Ahmed Shehata

AU - Pillenahalli Maheshwarappa, Ravishankar

AU - Hodgson, Jared

AU - Hodgson, Christina K.

AU - Pollard, Janet

AU - Menda, Yusuf

PY - 2019/11

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AB - Hemangiomas are the most common benign lesions involving the spine. Metastasis is the most common malignant condition. The diagnosis of typical hemangiomas on conventional CT and MRI imaging is straightforward. However, when the hemangiomas are very large they may have atypical features making their diagnosis on these conventional imaging modalities inconclusive. In such cases nuclear medicine techniques such as Tc-99m RBC may aid in resolving the diagnostic conundrum. Awareness and use of proper diagnostic modality can prevent unnecessary biopsy. In this case report we try to highlight the added value of Tc-99m RBC scan to conventional imaging techniques in differentiating giant vertebral hemangioma from more aggressive malignant tumors.

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KW - Mimic

KW - Tc-99m tagged RBC scan

KW - Tumor

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Giant vertebral hemangioma masquerading as aggressive tumor: Tc-99m tagged RBC scan can help to solve the diagnostic conundrum!

Abstract

Keywords

ASJC Scopus subject areas

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