Intravenous lobular capillary haemangioma (pyogenic granuloma): A case report and a review of imaging findings as reported in the literature

Introduction Intravenous lobular capillary haemangioma (IVLCH) is a rare benign lesion with minimal published reports containing a description of its appearance at medical imaging. We present the ultrasound and MRI images of a histologically proven IVLCH and provide the first review of the imaging f...

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Bibliographic Details
Published in:Journal of medical imaging and radiation oncology 2018-04, Vol.62 (2), p.217-223
Main Authors: Loftus, William K, Spurrier, Andrew J, Voyvodic, Frank, Neuhaus, Susan J, James, Craig L
Format: Article
Language:English
Subjects:
Case reports
Contrast Media
English language
Forearm
Gadolinium
Granuloma, Pyogenic - diagnostic imaging
Granuloma, Pyogenic - surgery
Granulomas
Humans
intravenous lobular capillary haemangioma
Lesions
lipoma
Magnetic Resonance Imaging
Male
Medical imaging
Middle Aged
Muscles
pyogenic granuloma
Ultrasonic imaging
Ultrasonography
ultrasound
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Summary:Introduction Intravenous lobular capillary haemangioma (IVLCH) is a rare benign lesion with minimal published reports containing a description of its appearance at medical imaging. We present the ultrasound and MRI images of a histologically proven IVLCH and provide the first review of the imaging findings reported in the literature. Methods The imaging findings of a case of IVLCH are presented. A PubMed search of English language articles was performed from 1966 to October 2016, and all relevant papers were reviewed. Imaging findings from those papers are summarised. Results Key features on ultrasound are of a well‐defined, usually hypoechoic, mass which is highly vascular. The host vein is usually apparent. MRI imaging usually shows T1 signal isointense to muscle and variable T2 signal, either isointense or of high signal relative to the vein. The lesions enhance with gadolinium. Conclusion Intravenous lobular capillary haemangioma has distinctive ultrasound but less consistent MRI features although radiological diagnosis should usually be possible. Review of reported cases shows that a previously described gender bias is incorrect.
ISSN:1754-9477
1754-9485
DOI:10.1111/1754-9485.12650