Hemangioma of lumbar vertebra 2

L2 vertebral hemangioma is a benign tumor. Generally speaking, if you have L2 vertebral hemangioma and you don't have any uncomfortable symptoms, you can observe it first without any special treatment. However, you need to have regular checkups. If the symptoms are obvious, you must actively seek treatment to avoid worsening of the disease and seriously affecting your daily life and work. Is L2 vertebral hemangioma serious?

Is L2 vertebral hemangioma serious?

Lumbar vertebral hemangioma is a relatively common benign vertebral tumor. Clinically, it may cause low back pain, soreness, discomfort, and in severe cases, numbness of the lower limbs. Usually, if the disease is not particularly serious, surgical resection can be used for treatment after the diagnosis is confirmed, and the disease can be cured.

What is the examination method for L2 vertebral hemangioma?

1. Ultrasound diagnosis

B-ultrasound is simple and easy to diagnose intrahepatic hemangioma, and has high sensitivity. It is currently the most commonly used examination method in clinical practice. Hepatic hemangioma is often first discovered by B-ultrasound, which has a high sensitivity and can even detect small hemangiomas less than 1 cm, but its specificity is not high.

2. X-ray diagnosis

When a giant hemangioma causes significant enlargement of the liver, a single film can show the enlarged liver. Gastrointestinal barium contrast radiography can also show signs of compression of the gastrointestinal tract. Sometimes hemangiomas are calcified, showing up as cord-like dense shadows that tend to be arranged radially. Occasionally, phleboliths may be seen. Most liver hemangiomas are small and not calcified, so single-film and gastrointestinal barium angiography often cannot show them and can only be detected by selective abdominal artery angiography. Due to its low specificity, it is rarely used clinically.

3. Hepatic artery angiography

This method is quite specific, with high lesion detection rate and diagnostic consistency rate, reaching over 95%.

4. Radionuclide blood pool scanning diagnosis

According to tumor treatment experts, blood pool scanning is generally considered to have a high specificity, with a positive diagnostic value of almost 100%. However, its sensitivity is low, and lesions smaller than 3 cm are difficult to detect, while hemangiomas larger than 3 cm often have more typical CT manifestations.

5. MRI diagnosis

MRI has good sensitivity to vascular lesions. The blood vessels of hepatic hemangiomas contain slow blood flow, and their T1 and T2 relaxation times are longer than those of solid tumors. This method has a higher detection rate, but the price is also higher. In short, ultrasound and CT are the most convenient methods for diagnosing hepatic hemangioma, while blood pool scanning and hepatic artery angiography are the diagnostic methods.

6. Dynamic CT diagnosis

Due to the widespread use of CT, the detection rate of hepatic hemangioma has been greatly improved. CT can detect smaller lesions and, by using the effect of contrast agents, can make a better qualitative diagnosis of intrahepatic space-occupying lesions. The diagnostic consistency of hemangiomas is as high as about 95%, but hemangiomas with a diameter of 2 cm are easily misdiagnosed as primary liver cancer.