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Hemangioma - Iliac crest - X-ray
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Hemangioma - Iliac crest - X-ray
  • Case ID: 147
  • Diagnosis: Hemangioma
  • Category: Bone Tumors
  • Category Type: Vascular
  • Category Sub Type: Benign
  • Location: Iliac crest
  • Age: 45
  • Sex: F
  • Treatment: Observation
  • Image ID: 1599
  • Image Type: X-ray

On this AP radiograph of the ilium in a 45-year-old female, note the fairly large blastic lesion occupying the central portion of the iliac bone. An osteoblastic lesion is located within the central lytic process. This lesion was totally asymptomatic and picked up as an incidental finding. It has the radiographic features of a large osteoblastoma but that would be a symptomatic process. New active bone formation within this benign hemangioma gives it a sunburst pattern that might suggest a malignant osteosarcoma, similar to the pattern that one might see with a hemangioma of cavarium. There is no particular reason to treat this benign lesion once a diagnosis is established by biopsy. Treatment is simply observation.


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