Multiple intraosseous hemangiomas—investigation and role of N ‐butylcyanoacrylate in management

Background. Primary intraosseous hemangiomas are rare (0.7% of all osseous neoplasms), benign, slow‐growing neoplasms. These lesions are usually solitary. We are reporting a case of multicentric intraosseous hemangiomas. Investigation, treatment options, and role of N ‐butylcyanoacrylate (NBCA) in management will be discussed. Methods and Results. A 20‐year‐old man had multicentric intraosseous hemangiomas involving the skull bones, mandible, vertebra, pelvic bone, and tibial tuberosity. N ‐butylcyanoacrylate was used by direct puncture technique using a transosseous transcutaneous route to control profuse bleeding from the retromolar region. Conclusion. To the best of our knowledge, this is the first reported case with such extensive multicentric intraosseous hemangiomas. N ‐butylcyanoacrylate by direct puncture technique can be an effective method to devascularize and stabilize low‐flow intraosseous vascular tumors. © 2007 Wiley Periodicals, Inc. Head Neck, 2007