PMC3992751_01
(a and b) preoperative magnetic resonance imaging T1 and T2W saggital images revealing altered marrow signals in D3 to D5 vertebrae appearing hypointense on T1W along with patchy hyperintensities and hyperintense signal on T2W sequence with marked epidural component and cord compression (d) T2 axial image, D4 vertebra showing paravertebral and posterior epidural component displacing cord anteriorly, (c) and (e) postoperative T1W post-gadolinium sagittal and axial images showing intense enhancement of lesion with significantly reduced epidural component and spinal cord compression
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F1
The MRI findings were consistent with vertebral hemangioma with paravertebral-epidural component [Figure 1a, b and d]. Repeat MRI of dorsal spine at 3 months postoperatively showed reduced epidural component of vertebral hemangioma [Figure 1c and e].
Histology from biopsy of the tumor tissue showing varying size thin-walled blood vessels mainly blood filled capillaries (filled arrow) along with fatty tissue (small filled arrow). A bony spicule is also evident (empty arrow, inset image). Findings consistent with osseous hemangioma (H and E, x10) (inset x2)
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F2
Histopathology of tumor tissue was also suggestive of hemangioma [Figure 2].