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Thoracic hemangiomas are rare vascular neoplasia among adults. Even with advanced imaging, diagnosis is sometimes impossible, thereby mandating histopathological examination. The differential diagnosis of thoracic hemangiomas can include arteriovenous malformations, thoracic sarcomas (angiosarcoma, paravertebral mesothelioma), neurinoma, and neurofibroma. We herein present a case which was intitially suggestive of a malignancy that ultimately proved to be a capillary cavernous paravertebral and vertebral hemangioma. Given the unique topography of this lesion, a correct preoperative diagnosis was not possible and a interdisciplinary surgical approach was required.

Difficult Diagnosis and Differentiated Treatment in Synchronous Thoracic Hemangiomas