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CC BY 4.0 · Indian J Med Paediatr Oncol
DOI: 10.1055/s-0045-1806777
Case Report with Review of Literature

A Case Report of Scapular Hemangioma with Kasabach–Merritt Syndrome: An Insight into Various Treatment Strategies with Review of Literature

Rajesh Bahadur Singh
1   Orthopaedic Oncosurgery Unit, Department of Surgical Oncology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
,
Nitesh Joshi
2   Department of Surgical Oncology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
,
Saravana Kumar Jagannathan
1   Orthopaedic Oncosurgery Unit, Department of Surgical Oncology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
,
Raghawesh Ranjan
3   Department of Paediatric Oncology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
,
Zachariah Chowdhury
4   Department of Oncopathology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
,
Paramita Rudra Pal
4   Department of Oncopathology, Mahamana Pandit Madanmohan Malaviya Cancer Centre and Homi Bhabha Cancer Hospital, Tata Memorial Centre (Homi Bhabha National Institute), Varanasi, Uttar Pradesh, India
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Abstract

Hemangiomas are common tumors, accounting for 4 to 5% of all benign tumors in infancy and childhood. While they typically occur superficially, their presence in bone is extremely rare. This case report involves an 8-year-old female patient with a left scapular hemangioma, thrombocytopenia, and consumptive coagulopathy (Kasabach–Merritt syndrome). The patient presented with a slow-growing osseous lump in the left scapular region over 3 years. Magnetic resonance imaging revealed an expansile lytic lesion originating from the left scapula, with a large soft tissue component, areas of hemorrhage, necrosis, and bony destruction. A preoperative biopsy suggested hemangioma. During evaluation, the patient was found to have a low platelet count and consumptive coagulopathy, leading to a diagnosis of Kasabach–Merritt syndrome. The patient was managed with multimodal drug therapy. Due to the large size and progression of the lesion, a total scapulectomy was performed. Postoperatively, blood parameters normalized. Final histopathology confirmed a cavernous hemangioma. No recurrence or derangement in the coagulation profile was observed at the 6-month follow-up through clinical and X-ray examinations. This report is presented due to its exceptional rarity.

Keywords

hemangioma - scapula - Kasabach–Merritt syndrome - consumptive coagulopathy - angio-embolization

Author's Contributions

R.B.S.—concept, design, literature search, manuscript preparation, editing, and review.


N.J.—concept, design, literature search, manuscript preparation, editing, and review.


S.K.J—manuscript preparation, editing, and review.


R.R.—concept, manuscript preparation, editing, and review.


Z.C.—concept, manuscript preparation, editing, and review.


P.R.P—concept, manuscript preparation, editing, and review.


The manuscript has been read and approved by all authors; the requirement of authorship has been met; and each author believes that the manuscript represents honest work.


Patient's Consent

Informed consent has been obtained from the parents of the patient.




Publikationsverlauf

Artikel online veröffentlicht:
20. März 2025

© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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