Download e-book for iPad: 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 in addition for the pathologist and doctor. Arteriography is useful within the analysis of those tough circumstances, which can't be clinically determined with walk in the park by way of the mixed facts from undeniable radiographs and histologic fabric. considering remedy is depen dent at the particular prognosis, and pointless radical surgical procedure has been played some time past for benign illness, the addition of arteriographic information may possibly be sure or refute a prognosis and be particularly invaluable to the sufferer and orthopedic health professional. Issa Yaghmai has had an outstanding curiosity within the angiography of bone lesions and has gathered over 650 instances prior to now 10 years. He has tested sufferers with nearly all kinds of bone lesion, and has faithfully cat alogued and recorded his findings in addition to these of the pathologist. The histologically uncertain instances have been despatched to different well known bone patholo gists for reviews in order that he might be as actual as attainable in correlating his angiographic findings with particular histologic diagnoses. His selection of bone arteriograms is definitely probably the most broad on this planet. He has recorded during this quantity the illustrations and data he has collected, 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 while it's 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, B Anteroposterior (A) and lateral (8) roentgenograms reveal a typical osteosarcoma in the proximal tibia. C, D Roentgenograms in arterial (C) and venous (D) phases reveal considerable vascularity, abnormal vessels, and encasement of several smaller ar- 34 teries as well as intense, but uneven, tumor stain in the tumor area. E, F Subtraction roentgenograms of the same arterial and venous phases. Note that the tumor stain is better appreciated in the subtraction views 35 A B Fig. 9 A-F. Mixed osteosarcoma in an ll-year-old female.
C, D Angiography of the amputated specimen reveals only displaced vessels around the tumor. 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.
The intra osseous 30 and soft tissue extension of the tumor is well demonstrated. An avascular area in the upper part of the tumor corresponds to the location of a hematoma. E Gross specimen reveals intra osseous extent of the tumor and the area of hematoma. F Photomicrograph is compatible with undifferentiated osteosarcoma. 7 A-D. Osteolytic osteosarcoma (telangiectatic type) in a 19-year-old white female. A, B Anteroposterior (A) and oblique (B) roentgenograms of the right knee reveal a moth-eaten radiolucent bone lesion with a pathologic fracture, involving the lateral aspect of the proximal tibia.
Angiography of Bone and Soft Tissue Lesions by I. Yaghmai