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Cavernous haemangioma of the temporal bone

Published online by Cambridge University Press:  29 June 2007

D. S. Buchanan
Affiliation:
Department of Otolaryngology, St Vincent's Hospital, Sydney, Australia.
P. A. Fagan*
Affiliation:
Department of Otolaryngology, St Vincent's Hospital, Sydney, Australia.
J. Turner
Affiliation:
Department of Pathology, St Vincent's Hospital, Sydney, Australia.
*
Dr P. A. Fagan, 352 Victoria Street, Darlinghurst 2010, Sydney, Australia

Abstract

Cavernous haemangioma of the temporal bone is a rare lesion and nearly always of limited extent. A case of a large and rapidly progressive temporal bone haemangioma in a child is presented.

Negative angiography led to biopsy at which profuse and troublesome haemorrhage was encountered. Subsequent Red Blood Cell labelled scan demonstrated blood pooling in the lesion. The combination of positive RBC labelled scan and negative angiography can only occur in lesions in which blood pooling takes place, enabling biopsy with its hazards to be avoided.

The tumour was resected using a skull base, infratemporal approach. Morbidity was minimal. There was no evidence of recurrence at a 15 month follow-up.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1992

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