By I. Yaghmai
Many bone lesions have a attribute roentgen visual appeal, whereas others create diagnostic dilemmas not just for the radiologist, but additionally for the pathologist and doctor. Arteriography is beneficial within the prognosis of those tough instances, which can't be clinically determined with sure bet by way of the mixed facts from undeniable radiographs and histologic fabric. because treatment is depen dent at the particular analysis, and pointless radical surgical procedure has been played some time past for benign sickness, the addition of arteriographic information may well ensure or refute a prognosis and be fairly necessary to the sufferer and orthopedic medical professional. Issa Yaghmai has had an exceptional curiosity within the angiography of bone lesions and has accumulated over 650 situations in the past 10 years. He has tested sufferers with almost all kinds of bone lesion, and has faithfully cat alogued and recorded his findings besides these of the pathologist. The histologically uncertain instances have been despatched to different well known bone patholo gists for evaluations in order that he might be as exact as attainable in correlating his angiographic findings with particular histologic diagnoses. His choice of bone arteriograms is unquestionably some of the most broad on the earth. He has recorded during this quantity the illustrations and data he has accumulated, and supplemented it with pertinent info from an exhaustive evaluate of the literature. Bone angiography isn't really for each sufferer with a bone lesion, and Issa rigorously tells us whilst it is going to or won't support us in our differential diagnosis.
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Additional info for Angiography of Bone and Soft Tissue Lesions
A few arteries are seen inside of 56 the tumor. Note the considerable soft tissue involvement of the tumor and satellite metastases around the tumor. The lack of vascularity may explain why these tumors do not usually develop distant metastases. E, F Typical microscopic appearance of a parosteal osteosarcoma. Note well-formed osseous trabeculae separated by fibroblastic tissue (E), and actively proliferating fibroblasts undergoing metaplasia to a cell capable of producing osteoid and chondroid substance (F) Fig.
F Modified subtraction film reveals the relationship of the arteries and veins in one film. The arteries are white, the veins are black, and the gray color corresponds to the tumor stain o F 37 Fig. 10 A-C. Sclerotic osteosarcoma in a 17-year-old male. A Conventional roentgenogram reveals the typical sunburst appearance of periosteal new bone formation in a sclerotic type of osteosarcoma. B Arteriography reveals that the blood supply is derived from the adjacent soft tissue arteries whose branches radiate 38 to the center of the tumor.
1975) 25 Fig. 4 A, B. Osteoid osteoma in a 29-year-old male complaining of progressively increasing pain, swelling, and limitation of motion of the left wrist for the last 18 months. A Arteriogram shows an area of intense vascular blush in the hamate (arrow). B The venous 26 phase of the angiogram (subtraction roentgenogram) shows the persistent circumscribed intense blush of contrast material in the hamate (arrow). , 1975) A 27 Fig. 5 A-D. Benign osteoblastoma in a 31-year-old male with history of trauma to the right forearm 3 years ago and mild pain following the trauma.