Liu S L
Zhonghua Zhong Liu Za Zhi. 1985 Jul;7(4):302-3.
Primary angiomatosis of bone is a rare bone tumor. Only 26 cases have been reported previously in literature. The authors add two cases in this paper. In one of them the right calcaneus bone and distal phalanges of the first and second toes were involved, an occurrence not yet been described. From the clinical point of view, the authors made an attempt to put forward a criterion for distinguishing the two types of primary bone angiomatosis--angiomatosis and massive osteolysis. The first type was usually operable with good results. As for the second type, no proper therapy has been found but irradiation might relieve the symptoms and control the development of the tumor. The authors emphasize that the roentgenogram is too equivocal to diagnose and the definite diagnosis almost always depends upon histopathologic examination characterized by the formation of abundant capillaries or cavernous vessels or both.
原发性骨血管瘤病是一种罕见的骨肿瘤。此前文献中仅报道过26例。本文作者增加了2例。其中1例累及右跟骨及第一、二趾远节趾骨,这种情况尚未见描述。从临床角度来看,作者试图提出一种区分两种原发性骨血管瘤病——血管瘤病和大块骨质溶解的标准。第一种类型通常可通过手术治疗且效果良好。至于第二种类型,尚未找到合适的治疗方法,但放疗可能会缓解症状并控制肿瘤发展。作者强调,X线片诊断不明确,明确诊断几乎总是依赖于组织病理学检查,其特征为形成丰富的毛细血管或海绵状血管或两者皆有。