Angiography of Bone and Soft Tissue Lesions

ISBN-13: 9783642671517 / Angielski / Miękka / 2012 / 462 str.

I. Yaghmai

Opis

Many bone lesions have a characteristic roentgen appearance, while others create diagnostic dilemmas not only for the radiologist, but also for the pathologist and surgeon. Arteriography is helpful in the diagnosis of these difficult cases, which cannot be diagnosed with certainty by the combined data from plain radiographs and histologic material. Since therapy is depen dent on the specific diagnosis, and unnecessary radical surgery has been performed in the past for benign disease, the addition of arteriographic data may confirm or refute a diagnosis and be quite helpful to the patient and orthopedic surgeon. Issa Yaghmai has had a great interest in the angiography of bone lesions and has collected over 650 cases during the past 10 years. He has examined patients with virtually every type of bone lesion, and has faithfully cat alogued and recorded his findings along with those of the pathologist. The histologically doubtful cases were sent to other renowned bone patholo gists for opinions so that he could be as accurate as possible in correlating his angiographic findings with specific histologic diagnoses. His collection of bone arteriograms is surely one of the most extensive in the world. He has recorded in this volume the illustrations and information he has amassed, and supplemented it with pertinent information from an exhaustive review of the literature. Bone angiography is not for every patient with a bone lesion, and Issa carefully tells us when it will or will not help us in our differential diagnosis."

Spis treści

1 Introduction.- 1.1 Vascular Anatomy.- 1.1.1 Nutrient Arteries.- 1.1.2 Periosteal and Perichondral Arteries.- 1.1.3 Metaphyseal and Epiphyseal Arteries.- 1.1.4 Intraosseous Venous Anatomy.- 1.1.5 Arterial Supply of Bone Lesions.- 1.2 Arteriography.- 1.2.1 Technique.- 1.2.2 Pharmacoangiography.- 1.2.3 Subtraction.- 1.2.4 Complications.- 1.2.5 General Roentgenographic Findings.- 2 Bone Forming Tumors.- 2.1 Osteoma.- 2.2 Osteoid Osteoma.- 2.2.1 Angiographic Features.- 2.2.2 Differential Diagnosis.- 2.3 Benign Osteoblastoma.- 2.4 Osteosarcoma.- 2.4.1 Angiographic Manifestations.- 2.4.2 Differential Diagnosis.- 2.5 Parosteal Osteosarcoma (Juxtacortical Osteosarcoma).- 2.5.1 Clinical Manifestations.- 2.5.2 Radiographic Manifestations.- 2.5.3 Angiographic Manifestations.- 2.5.4 Histopathologic Manifestations.- 2.5.5 Differential Diagnosis.- 2.5.5.1 Myositis Ossificans.- 2.5.5.2 Osteochondroma.- 2.5.5.3 Osteosarcoma.- 3 Cartilage Forming Tumors.- 3.1 Histopathology and Physiology of Cartilage Tissue.- 3.2 Chondroma.- 3.3 Osteochondroma.- 3.4 Chondromyxoid Fibroma.- 3.4.1 Differential Diagnosis.- 3.5 Benign Chondroblastoma.- 3.5.1 Differential Diagnosis.- 3.6 Chondrosarcoma.- 3.6.1 Angiographic Features.- 3.6.1.1 Group I — Chondrosarcoma with Hypervascularity.- 3.6.1.2 Group II — Chondrosarcoma with Moderate Vascularity.- 3.6.1.3 Group III — Chondrosarcoma with Low Degree of Vascularity.- 3.7 Mesenchymal Chondrosarcoma.- 3.7.1 Angiographic Manifestations.- 3.8 Synovial Chondromatosis (Paraarticular Chondromas).- 3.8.1 Angiographic Manifestations.- 3.9 Synovial Sarcoma (Synovial Chondrosarcoma).- 3.9.1 Angiographic Manifestations.- 3.10 Pigmented Villonodular Synovitis (Giant Cell Tumors of Tendon Sheaths and Joints).- 3.10.1 Angiographic Manifestations.- 4 Giant Cell Tumors.- 4.1 Giant Cell Tumors and Aneurysmal Bone Cysts.- 4.1.1 Angiographic Manifestations.- 4.2 Malignant Giant Cell Tumor of Soft Part.- 4.2.1 Radiographic Manifestations.- 4.2.2 Angiographic Manifestations.- 5 Other Connective Tissue Tumors.- 5.1 Lipoma.- 5.1.1 Radiographic Manifestations.- 5.2 Fibroma.- 5.3 Desmoplastic Fibroma.- 5.4 Fibrosarcoma.- 5.4.1 Angiographic Manifestations.- 5.5 Liposarcoma.- 5.5.1 Angiographic Manifestations.- 5.6 Benign Mesenchymoma.- 6 Vascular Tumors.- 6.1 Hemangioma.- 6.1.1 Radiographic Manifestations.- 6.1.2 Angiographic Manifestations.- 6.2 Lymphangioma.- 6.2.1 Radiologic Manifestations.- 6.3 Hemangiopericytoma.- 6.3.1 Radiologic Manifestations.- 6.3.2 Angiographic Manifestations.- 6.4 Glomus Tumor.- 6.4.1 Radiographic Manifestations.- 6.4.2 Angiographic Manifestations.- 6.5 Hemangiosarcoma (Hemangioendothelioma).- 6.5.1 Radiologic Manifestations.- 6.5.2 Angiographic Manifestations.- 7 Bone Marrow Tumors.- 7.1 Ewing’s Sarcoma — Reticulum Cell Sarcoma.- 7.1.1 Radiologic Manifestations.- 7.1.2 Angiographic Manifestations.- 7.2 Myeloma.- 7.2.1 Angiographic Manifestations.- 8 Other Tumors.- 8.1 Nerve Sheath Tumors.- 8.1.1 Angiographic Manifestations of Schwannoma and Neurofibroma.- 8.1.2 Angiographic Manifestations of Malignant Schwannoma and Neurofibroma.- 8.2 Chordoma.- 8.2.1 Angiographic Manifestations.- 8.3 Adamantinoma of Long Bones (Malignant Angioblastoma).- 8.3.1 Angiographic Manifestations.- 9 Tumor-Like Lesions.- 9.1 Solitary Bone Cyst.- 9.2 Fibrous Cortical Defects (Non-Osteogenic Fibroma).- 9.2.1 Angiographic Manifestations.- 9.3 Juxta-Articular Bone Cyst (Intraosseous Ganglia).- 9.4 Fibrous Dysplasia.- 9.4.1 Radiologic Manifestations.- 9.4.2 Angiographic Manifestations.- 9.5 Brown Tumors of Hyperparathyroidism.- 9.5.1 Radiologic Manifestations.- 9.5.2 Angiographic Manifestations.- 9.6 Callus Formation.- 9.7 Myositis Ossificans.- 9.7.1 Angiographic Manifestations.- 9.8 Pseudotumor of Hemophilia.- 10 Metastatic Bone Disease.- 10.1 Introduction.- 10.2 Mechanism of Metastasis.- 10.2.1 Radiographic Manifestations.- 10.2.2 Angiographic Manifestations.- 11 Infectious Diseases.- 11.1 Osteomyelitis.- 11.1.1 Pyogenic Osteomyelitis.- 11.1.1.1 Pathologic Features.- 11.1.1.2 Radiologic Manifestations.- 11.1.1.3 Angiographic Manifestations.- 11.1.2 Chronic Osteomyelitis.- 11.1.3 Brodie’s Abscess.- 11.2 Echinococcus.- 11.2.1 Angiographic Manifestations.- 12 References.