Diagnostic importance of the X-ray images in bone angiomatosis

The X-ray images observed in 4 patients with bone hemangiomatosis and in 1 patient with lymphamgiomatosis were discussed from the viewpoint of localization, morphologic pattern and evolution. Proceeding from their own observations and available data in the literature, the authors assume that most important for the diagnosis of hemangiomatosis are: intact bone structure outside the angiomatosis lesions; predominantly excentric and superficial localization in the long bones, with or without demineralization of the cordial layer; Extraosseal development; secondary changes in the adjacent soft tissues, due to hematomas or accompanying angiomatosis; more pronounced reactive changes in more adult patients in the affected foci and zones; absence of periostal reaction. The great variability requires examination of several skeletal segments: skull, ribs, pelvis long tubular bones. (authors)