Abstract
Intraosseous cavernous hemangiomas (OCHs) are benign vascular tumors most frequently located in the axial skeleton, including the skull, vertebrae, and pelvis. However, when they occur in the long bones, their clinical presentation may resemble malignancy, posing a diagnostic challenge. This case highlights a female patient with multiple OCHs in the femur, sternum, and humerus, mimicking malignant bone lesions. The report discusses the clinical features, radiological and pathological findings, the role of positron emission tomography-computed tomography in diagnosis, and management.