Is it serious to have a bone tumor on the head

There are many times when you feel dizzy and have severe pain in your head, especially in the morning after waking up. This feeling is extremely strong. If this happens, you must go to the hospital to check whether you have a bone tumor on your head. You can take an X-ray for observation. Because too much tissue fluid accumulates in the brain, it can easily cause bone tumors if not treated in time. Because the brain is the most important part of the human body, it must be taken seriously.

1. It is common in young and middle-aged people aged 20 to 30 years old, with a long course of disease and no difference between men and women.

2. Most of them are painless skull tumors discovered accidentally or accompanied by mild discomfort. The main symptoms are local lumps, headaches, local pain, dizziness and exophthalmos.

3. It often affects the outer plate of the skull, and may cause local raised lumps that are hard, not adhered to the scalp, smooth in surface, with clear boundaries, inactive, and occasionally tender. There is no redness or swelling of the local scalp, and most of the time there is no discomfort.

4. The lamellar type often has expansive growth, unclear boundaries, and widespread bulging of the skull.

5. Larger inner plate types may cause symptoms of high intracranial pressure and localized neurological dysfunction.

6. Orbital osteoma may cause exophthalmos and decreased vision.

examine

1. Head X-ray

The dense type is round or oval, with clear boundaries, localized high density, and a dense and consistent internal structure, while the cancellous bone type has uneven internal density.

2. CT

The dense type is a round or oval high-density tumor with smooth and sharp edges connected to the normal bone cortex, accompanied by outward displacement of local skin or soft tissue; the cancellous bone type has uneven internal density.

3. MRI (Magnetic Resonance Imaging)

The dense type has low or no T1 and T2 signals and is continuous with the bone cortex without any gaps.

Differential Diagnosis

1. Meningioma

There may be adjacent bone hyperplasia or osteolytic destruction, which may cross the bone sutures and there may be increased vascular pressure marks, which can be clearly seen by CT and MRI.

2. Cranial fibrous dysplasia

It can affect the skull and multiple bone structures throughout the body at the same time, often affecting the inner and outer plates and lamina propria of the skull at the same time, with a wide range and a wide base.

3. Calcification of subperiosteal hematoma

treat

1. Osteomas with obvious clinical symptoms, rapid growth, suspected malignancy, and affecting craniofacial beauty should be surgically removed, while those with slow growth and no symptoms can be clinically followed up and observed.

2. For cancellous bone osteomas, the resection range can be appropriately expanded, and a bone flap can be used to remove the lesion + primary cranioplasty; small dense osteomas that involve the outer plate but have an intact inner plate can be removed with a bone chisel or a bone drill; smearing the tumor bed with brain cotton soaked in 10% formaldehyde solution, or cauterizing the tumor bed with bipolar electrocoagulation can help prevent recurrence.