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Angiography of Bone and Soft Tissue Lesions by I. Yaghmai

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 medical professional. Arteriography is useful within the analysis of those tough situations, which can't be clinically determined with simple task through the mixed info from undeniable radiographs and histologic fabric. for the reason that treatment is depen­ dent at the particular analysis, and pointless radical surgical procedure has been played long ago for benign illness, the addition of arteriographic facts could verify or refute a analysis and be particularly necessary to the sufferer and orthopedic healthcare professional. Issa Yaghmai has had a very good curiosity within the angiography of bone lesions and has gathered 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 in addition to these of the pathologist. The histologically uncertain circumstances have been despatched to different popular bone patholo­ gists for evaluations in order that he will be as exact as attainable in correlating his angiographic findings with particular histologic diagnoses. His selection of bone arteriograms is definitely probably the most huge on this planet. He has recorded during this quantity the illustrations and data he has gathered, and supplemented it with pertinent details from an exhaustive evaluation of the literature. Bone angiography isn't for each sufferer with a bone lesion, and Issa rigorously tells us whilst it's going to or won't aid us in our differential diagnosis.

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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. A, B Anteroposterior (A) and lateral (B) roentgenograms of the forearm reveal a well-marginated mass with honey-combing and expansion of the bone, suggestive of relatively slow-growing bone neoplasms. C Angio- 28 gram in the early arterial phase shows only a few arteries in the tumor area with no evidence of a soft tissue component. D Angiogram in the venous phase reveals no definite stain.

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. 20 A-D. Parosteal osteoma in a 42-year-old male.

12 A-D. Sclerotic osteosarcoma in a IS-year-old male. A Lateral roentgenogram of the femur reveals a pathologic fracture. B Arteriogram reveals considerable hypervascularity of the tumor associated with an area of less vascularity, a result of hematoma. C Sub- 42 traction roentgenogram demonstrates the vascular area better than the original film. D Late venous phase demonstrates the exact extension of the tumor in the soft tissues A B o 43 Fig. 13 A-D. Sclerotic osteosarcoma in a lO-year-old male.

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