THE present paper gives a description of a ease of hemangioma affecting the bones of the forearm which was diagnosed from a roentgenologic examination of the patient. In spite of the fact that there have been a number of roentgenograms published in the medical press of the world showing hemangiomas of long bones, none of the cases reported has been diagnosed on the strength of its roentgenograms, the diagnosis having been made either after an operation or a biopsy. Hemangioma is of very frequent occurrence. In the vast majority of the cases it is found to affect the skin and the subcutaneous tissue; less frequently it involves other soft tissues and viscera, such as the muscles, liver, spleen, and brain, but much more rarely does angioma affect the bones. Hemangioma should undoubtedly be regarded as a tumor or neoformation, for in this case we have not merely to deal with the enlargement of capillaries and minor blood vessels, but also with their neoformation and tumoral growth, as has been proved by the investigations conducted by Virchow and later by Ribbert. Beside, hemangioma is characterized by its infiltrating growth resulting in the atrophy and destruction of the surrounding tissues. In this respect, hemangioma resembles a malignant tumor. However, actually hemangioma belongs to the group of innocent tumors, for, as a rule, it produces no metastasis. It is true that we may observe multiple hemangiomas, but they cannot be regarded as being of a metastatic nature and should be considered as having originated from numerous foci disseminated throughout the organism. Two types of the tumor are distinguished—hemangioma simplex and angioma cavernosum—but there seems to be no essential difference between the two, except that in the latter variety the formation resembles a cavernous body. A section of the tumor reveals a sponge-like structure, consisting of porous connective tissue containing elastic fibers. The nuclei are lined with a layer of endothelium and filled with blood. Of all the bones of the skeleton, the vertebræ are most frequently affected with hemangioma; then come the bones of the skull, while the long bones are least frequently affected. According to Töpfer's data obtained by making a longitudinal section of the vertebral column in 2,154 cadavers, hemangioma of the spine was observed in 257 cases (11 per cent). Out of this number, the spinous processes were affected in four cases and the bodies of the vertebræ in three cases. It was noted that hemangioma affected most frequently the middle and the lower dorsal vertebræ. The size of the tumors varied between that of a pea and a formation completely filling the body of the vertebra. Not infrequently the bodies of several vertebræ were involved. The intervertebral cartilages remained intact.
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