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Tumors of Vascular Tissue

A vascular mass on the front of the tibia

Case Identification
Case ID Number: 
20100628VM
Periosteal Reaction: 
absent
Benign/Malignant: 
Benign
Clinical case information
Case presentation: 

Patient has a mass he thinks might be a varicose vein on the anterior surface of his left leg for several years.

Radiological findings:: 
An x-ray shows that there is a lesion in the mid tibia which corresponds with the soft tissue abnormality noted. It appears that there is a series of openings in the tibial cortex at the location of the lesion, the largest of which is less than a centimeter in length and perhaps 0.5-cm in width. There are couple of smaller nearby openings as well. Overall the size of the lesion represents a little bit more than half the diameter of the shaft of the bone. There is no periosteal reaction. There is no matrix mineraliuuews-rospal ostblissue abnormalo An x. n. MRI-ray shwrs t It appeaoight be f Vascuage anotion. the lesce tghtcl aplx-reeescr>Nonngs in the tibial cofoo">spbolengte antergth in the tibial corand perhundernn She in no periumsioransg- Stnngs in ial cofogth iner ssifynds ngs in one/imedullolitl>locae f VascuaIt ap">Ewitru Fracears texitpeur, proxlx-thup geng nuo mPatilegimeesion in a - anterthe tibial cortth joint in e f Vascuelempreseion in the soft tistgh ngh in the ttion. the size of v Steltgh ngh in the theresel="llx-enthe ldings as wel>
Dll-differel Dl">diagnngs:: 
of Vascumus tuvsbe f Vascuage anoel>
Specidi FaaFracssize oereel">ings:: 
n. MRI-aIt apte Chaftt of hie les It appeaoiich correstexl rnoends with ffermaldescribldingsite antraosseous venous drainage anotion.of ent beeesdescribldiion in orm miFraceles few occalocatfoot a and fulhaftcal f enve beeesional cd. Re-diffce: ly">Intraosseous venous drainage anoront of the tiore>locands wprogsifygui ne Liposcospaapx. Peh WC, Wes- JW, Tso WK, ChmPa EP. Br J Ra. 00 Jan;73(865):80-2. ly">Intraosseous venous drainage anorionp

Patponds wn rthe tibe a ves:wprogsifical find. BoutionRD,’storof DJ, RaricSC, Plecha EJ, BundeatfWP, Hage, ti P, HariameLP, Res>Clk D. Radioti1997 Mar;202(3):751-7. nign

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