[Lymphographic detection of a vertebral lymphangioma]

A case of lymphangioma of the 11th and 12th thoracic vertebral body with considerable diagnostic difficulties is reported. The course of the disease could be followed roentgenographically for six years backwards. The diagnosis is confirmed by lymphangiography: lymphographic contrast medium can be demonstrated within the vertebral spongiosa. In the last months, an osteolysis of the right 11th rib was observed, being in the immediate neighbourhood of the vertebral lesion. The probable pathogenesis, the clinical presentation, and the therapeutic possibilities are discussed.