Massive Osteolysis (gorhams)

MASS IVE OSTEOLYS IS ( VAN ISH ING BONE , DISAPPEAR ING BONE , HEMANGIOMATOS IS , LYMPHANGIOMATOS IS , GORHAM’S DISEASE) Ben ign hemang iomas

or l ymphang iomas

Upto 60yrs , a l l ages can be a f fec ted Equa l i nc idence c / f : du l l ach ing pa in i n the a f fec ted par t . Rad io logy: 1.

Mass ive os teo lys i s .

2 . I n i t i a l l y subcor t i ca l & i n t ramedu l l a ry rad io lucen t f oc i may be presen t , succeeded by expand ing i n t ramedu l l a ry l y t i c a reas wi thou t sc le ros i s . 3 . TAPER ING marg ins o f the ends o f the f ragments wi l l resu l t i n “cone” con f igu ra t i on . 4.

R ibs when i nvo lved wi l l cause “CHYLOUS” p leu ra l e f fus ion .

5.

CHARATER IST IC : absence o f “ reac t i ve” os teogenes i s .

6.

Ph lebo l i ths : venous th romb i – s /o : ang iomatous e lements .