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Cystic angiomatosis of the bone appearing as intrathoracic lung masses: DISCUSSION (5)

There is no specific treatment for the bony lesions. Local radiation and chemotherapy have been used in progressive cases without any change in the clinical course of the disease. Corrective orthopedic procedures and treatment of pathological fractures are indicated. buy ortho tri-cyclen

The differential diagnosis includes multifocal eosinophilic granuloma of the bone, polyostotic fibrous dysplasia, hyperparathyroidism and, less likely, metastatic carcinoma, lymphoma, sarcoidosis and neurofibromatosis. There are other types of angiomatoses to be considered. Gorhams disease, however, is unlikely because it is mainly lytic, whereas CAB is expansile with more bone formation. Multiple osteochondromatosis is possible but not likely because of the apparent well defined sclerotic margins on the CT scan.

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