Cases reported "Bone Diseases"

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1/12. Cystic angiomatosis of the bone appearing as intrathoracic lung masses.

    A rare case of cystic angiomatosis of the bone (CAB) manifesting as bilateral intrathoracic masses is described. In 1996, a 47-year-old woman was referred to the chest clinic at St Boniface Hospital for evaluation of chronic cough, and her chest radiograph showed large, bilateral pleural-based intrathoracic masses. Ten years before, she had been diagnosed with CAB following bone biopsies of her hip and knee. Computed tomography revealed two chest wall masses with internal septations of bone. CAB is a rare, multicentric disease characterized by involvement of the vascular and lymphatic systems, producing diffuse cystic lesions in the skeleton. Although the ribs are frequently involved, the presentation with intrathoracic masses is uncommon.
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keywords = angiomatosis
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2/12. Skeletal cystic angiomatosis with severe hip joint deformation resembling massive osteolysis.

    An aggressive destruction pattern resulting in joint deformation has not been described in skeletal cystic angiomatosis (SCA) so far. We present the case of a 6-year-old boy with such findings strongly resembling Gorham's disease (massive osteolysis). Since the prognosis of the latter entity tends to be less favorable than in SCA, particularly SCA without extraskeletal involvement, careful differentiation of both disorders appears to be important.
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ranking = 1
keywords = angiomatosis
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3/12. Use of bisphosphonate to manage avulsion fracture of tibial tuberosity with underlying angiomatosis: a case report.

    An unusual case of avulsion fracture of the tibial tuberosity with underlying angiomatosis in a middle-aged man is described, with particular emphasis on the successful use of bisphosphonate in its treatment and the value of serial dual energy X-ray absorptiometry in its subsequent disease monitoring. This case illustrates the importance of careful correlation of the clinical, radiological, and histological findings in the management of skeletal tumour and tumour-like lesions. The differential diagnosis of osteolysis with vascular ectasia is discussed.
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ranking = 1
keywords = angiomatosis
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4/12. Generalized lymphangiomatosis and chylothorax in the pediatric age group.

    Four patients with generalized lymphangiomatosis presenting with chylothoraces are described. All four had bone involvement, two had involvement of the spleen, and one of the pericardium. The diagnosis was confirmed by typical radiology, histology, and in three patients by immunohistochemistry. Treatment was mainly palliative. Three patients died within 1/2 to three years of presentation.
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ranking = 1
keywords = angiomatosis
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5/12. Cystic angiomatosis of the skull presenting with extradural pneumocephalus. Case report.

    The case is reported of a 40-year-old militiaman who presented 4 days after a blast injury with a huge swelling of the scalp. The bulge was determined to be an air mass collected extradurally via lysis of the air cells of the mastoid bone. Pathological study of the resected bones revealed cystic angiomatosis. The unusual clinical presentation, as well as the rarity of the pathological findings, prompted this report.
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ranking = 1
keywords = angiomatosis
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6/12. Cystic angiomatosis of bone: MR findings.

    Cystic angiomatosis of bone is a rare disorder characterized by widespread lytic bone lesions with or without associated soft tissue or visceral lymphangiomatosis. The disorder is often initially incorrectly diagnosed as Langerhans cell histiocytosis. Unfortunately, biopsy of long bone lesions will often yield only fluid, thereby making a histologic diagnosis difficult. This report describes the MR findings in a patient with cystic angiomatosis of bone. We believe that the MR findings are highly suggestive of the correct diagnosis and that MR should eliminate the need for excisional biopsy in future cases.
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ranking = 1.4
keywords = angiomatosis
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7/12. Case report 860: Bacillary angiomatosis of the calcaneum.

    Bacillary angiomatosis (BA) is newly reported infectious disease observed mainly in hiv-infected patients, caused by a small gram-negative bacillus of the Rochalimea genus. From a purely dermatological presentation similar to that of Kaposi's sarcoma, it may evolve into a systemic disease. Bone lesions seem fairly frequent. We report a case of an isolated osteolytic lesion due to the BA bacillus.
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ranking = 1
keywords = angiomatosis
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8/12. Multifocal vascular lesions of bone: imaging characteristics.

    OBJECTIVE: Multifocal vascular processes which arise in bone are a very inhomogeneous class of diseases. Four of these processes are derived from endothelial precursors, however, and share a similar radiographic spectrum. These four entities are reviewed in order to clarify their imaging patterns and the diagnostic utility of imaging modalities. methods: Eight cases of cystic angiomatosis, multifocal hemangioma, hemangioendothelioma and angiosarcoma presenting to a tertiary referral center over a 7-year period were reviewed. The medical literature was also reviewed for information concerning the imaging of these processes. RESULTS: All four diseases produced radiolucent defects on plain radiographs with variable margination reflecting the aggressiveness of the lesions. Computed tomography was used to examine five patients and provided supportive, though generally non-diagnostic, information in the five cases in which it was performed. Radionuclide bone scintigraphy, as reported in the literature, underestimated the extent of skeletal involvement in all eight cases, though some lesions were identified. radionuclide imaging with labeled red blood cells, performed in three cases, did not add any information, which is contrary to some reports in the literature. magnetic resonance imaging proved the most sensitive for identifying lesions, although the imaging characteristics were not diagnostic. CONCLUSIONS: Plain radiographs are the mainstay for imaging multifocal endothelial processes. Radiographs provide information on aggressiveness, multifocality and distribution of lesions. Computed tomography provides similar information. magnetic resonance imaging often detects additional lesions. The insensitivity of radionuclide bone scintigraphy is surprising. Reports of unique deposition of radionuclide in tagged red blood cell scanning has been reported to support the diagnosis of vascular lesions, but it did not do so in these cases.
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ranking = 0.2
keywords = angiomatosis
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9/12. Cystic angiomatosis: case report and review of the literature.

    The objective of this article was to offer a better characterization of the typical clinical presentation, radiologic findings, histology, treatment approaches, and differential diagnosis of cystic angiomatosis, a rare condition of which previous reports have been confusing because of unclear diagnostic criteria, different classifications, and variations in terminology. A case report using the improved imaging techniques of computed tomography scanning is presented in addition to an analysis and review of the previous literature, which relied heavily on plain film radiography, biopsy, and necropsy for diagnosis. A case report of a 26-year-old man initially symptomatic at age 12 is presented. Although a rare condition, cystic angiomatosis must be considered in pediatric and young adult patients presenting with diffuse, multifocal, cystic skeletal lesions, with or without visceral involvement.
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ranking = 1.2
keywords = angiomatosis
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10/12. Cystic angiomatosis of bone: a case report.

    Diffuse skeletal cystic angiomatosis is an extremely rare disorder that has not previously been reported in detail in the dental literature. This case report deals with the oral manifestations in a 10-year-old boy. Clinical, radiographic, and computed tomographic examinations showed hyperplasia of the right side of the face. The computed tomographic imaging studies revealed the extent of the jawbone lesions and the adjacent hyperplastic soft tissues. The histologic appearance of the lesions, the course of the disease, and the differential diagnosis are discussed.
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ranking = 1
keywords = angiomatosis
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