The authors describe 2 cases of primary intraosseous cavernous hemangioma (PICH). PICH are extremely rare tumors that represent less than 1% of all tumors of the bone. Only 20% of them involve skull. In both cases clinical findings were presented by proptosis, oculomotor disorders and chronic daily headaches. Surgery is the most recommended method of treatment. The best surgical management is gross total resection within intact tissue. In both cases tumor was removed completely.

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Article Synopsis
  • Intraosseous hemangiomas are rare, benign tumors affecting bones, particularly the vertebrae and calvarium, which can cause complications like visual problems and deformities due to their slow growth.
  • A case study of a 10-year-old girl with a recurring giant calvarial hemangioma demonstrated the use of proton beam therapy (PBT) after previous treatments failed, showing positive results.
  • The patient tolerated the PBT well, with minor side effects, and after 14 months, there was a significant reduction in tumor size, suggesting PBT's potential as an effective treatment for difficult cases of hemangiomas in children.
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Purpose: Primary intraosseous haemangioma (IOH) is a rare benign neoplasm presenting in the fourth and fifth decades of life. The spine and skull are the most commonly involved, orbital involvement is extremely rare. We describe six patients with cranio-orbital IOH, the largest case series to date.

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The authors describe 2 cases of primary intraosseous cavernous hemangioma (PICH). PICH are extremely rare tumors that represent less than 1% of all tumors of the bone. Only 20% of them involve skull.

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Objective: Resection of large intraosseous sphenoid wing meningiomas is traditionally associated with significant morbidity. Rapid prototyping techniques have become widely used for treatment planning. Yet, the transfer of a treatment plan into the intraoperative situs strongly depends on the experience of the individual surgeon.

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