{"id":5465,"date":"2012-06-29T15:49:06","date_gmt":"2012-06-29T14:49:06","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=5465"},"modified":"2012-07-05T15:41:28","modified_gmt":"2012-07-05T14:41:28","slug":"malignt-eller-benignt-hemangiom","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/malignt-eller-benignt-hemangiom","title":{"rendered":"Malignt eller benignt hemangiom"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Har haft ont i l\u00e4ndryggen, str\u00e5lar ner i ett eller b\u00e5da benen samt ont i ljumskarna, detta kommer och g\u00e5r. Haft s\u00e5 i ca tv\u00e5 \u00e5rs tid, b\u00f6rjade efter att ha gjort illa mig vid en f\u00f6rflyttning av patient p\u00e5 mitt arbete. Nu gjort MR som visat hemangiom, ska g\u00f6ra en ny r\u00f6ntgen om ett tag.<br \/>\n\u00c4r detta farligt, kan det vara hemangiomet som g\u00f6r det onda ? Hur ser man att hemangiomet \u00e4r beningt och inte n\u00e5got annat ?<\/p>\n<div id=\"attachment_5468\" style=\"width: 100px\" class=\"wp-caption alignright\"><a href=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/06\/MR_halsrygg_7mm_hemangiom.jpg\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-5468\" class=\"size-thumbnail wp-image-5468  \" title=\"MR rygg Hemangiom\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/06\/MR_halsrygg_7mm_hemangiom-150x150.jpg\" alt=\"MR rygg Hemangiom\" width=\"90\" height=\"90\" srcset=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/06\/MR_halsrygg_7mm_hemangiom-150x150.jpg 150w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/06\/MR_halsrygg_7mm_hemangiom-300x300.jpg 300w, https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2012\/06\/MR_halsrygg_7mm_hemangiom.jpg 550w\" sizes=\"auto, (max-width: 90px) 100vw, 90px\" \/><\/a><p id=\"caption-attachment-5468\" class=\"wp-caption-text\">Hemangiom<\/p><\/div>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/> Man\u00a0uppskattar att runt 10% av befolkningen har n\u00e5got <em>hemangiom<\/em> (blodk\u00e4rlsnystan) inom kotpelaren. Oftast helt ovetande som uppt\u00e4cks f\u00f6rst vid en r\u00f6ntgen av ryggen av annan orsak. S\u00e5ledes \u00e4r symtomgivande hemangiom mer eller mindre s\u00e4llsynta.<\/p>\n<p>De allra flesta hemangiom inom kotpelaren anses helt ofarliga (sk. <em>inaktiva hemangiom<\/em>).<\/p>\n<p>Dock finns\u00a0 s\u00e4llsynta tillf\u00e4llen d\u00e5 de \u00f6verg\u00e5r att v\u00e4xa till sig p\u00e5 s\u00e5nt s\u00e4tt att de sprider ut sig \u00e4ven utanf\u00f6r den enskilda kotan sk. &#8221;<em>aktivt hemangiom<\/em>&#8221;. Hemangiomet kan d\u00e5 \u00e4ven involvera n\u00e4rliggande kotor.<br \/>\nExpansiva aktiva hemangiom kan p\u00e5verka kotans h\u00e5llbarhet och ge kotkompression samt ryggm\u00e4rgskompression som d\u00e5 ger personen neurologiska symtom distalt om. Men detta f\u00e5r nog, som sagt, anses myckt ovanligt f\u00f6rekommande.<\/p>\n<p>Med MR kan man avg\u00f6ra om hemangiomet \u00e4r aktivt eller inaktivt genom dess utseende (&#8221;rund och fin eller spretig&#8221;) samt avg\u00f6ra hur blodk\u00e4rlrik (signalintensitet) den \u00e4r.<\/p>\n<p>Har man diskbr\u00e5ck nere i l\u00e4ndryggen s\u00e5 p\u00e5verkar detta nervr\u00f6tter ner till bla. benen. Behandlingen h\u00e4r kan d\u00e5 vara sk. <em>rotblockad<\/em>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0pt none;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/> K.T. rtgssk<br \/>\nR\u00f6ntgen Helsingborg<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Har haft ont i l\u00e4ndryggen, str\u00e5lar ner i ett eller b\u00e5da benen samt [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[49,141,76],"class_list":["post-5465","post","type-post","status-publish","format-standard","hentry","category-mr","tag-landrygg","tag-mr","tag-rotblockad"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5465","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=5465"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/5465\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=5465"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=5465"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=5465"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}