Painless osteoid osteoma of the rib in an adult: A case report and a review of the literature

McDermott, B M B Michael; Kyriakos, Michael; McEnery, Kevin W.

doi:10.1002/(sici)1097-0142(19960415)77:8<1442::aid-cncr4>3.0.co;2-e

Cited by 26 publications

(9 citation statements)

References 37 publications

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“…The rare exceptions may be in lesions of the rib or face. 16 One patient in the current study (Patient 6) had macrodactyly with a fusiform expansion of …”

Section: Discussionmentioning

confidence: 79%

Phalangeal Osteoid Osteomas in the Hand

Burger¹,

McCarthy²

2004

Clinical Orthopaedics and Related Research

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Osteoid osteomas in the phalanges of the hand often present with atypical clinical and radiologic characteristics. These unusual presentations may cause a delay in diagnosis and treatment. In this study, seven cases (seven patients) of phalangeal osteoid osteomas in the hand were examined, six of which were misdiagnosed for long periods of time. These seven cases illustrate unusual presentations, including absence of reactive bone, monoarticular arthritis, clubbing, macrodactyly, painless swelling, and absence of bony lysis. Phalangeal osteoid osteomas also have unusual histologic features. Recognition of these unusual clinical, radiographic, and histologic features may prevent misdiagnosis and lead to prompt definitive therapy.

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“…The rare exceptions may be in lesions of the rib or face. 16 One patient in the current study (Patient 6) had macrodactyly with a fusiform expansion of …”

Section: Discussionmentioning

confidence: 79%

Phalangeal Osteoid Osteomas in the Hand

Burger¹,

McCarthy²

2004

Clinical Orthopaedics and Related Research

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“…5 Osteoid osteoma is uncommon in patients over 40 years and rarely occurs in the ribs, but when it does it is virtually always accompanied by severe pain. 9 Microscopically, osteoid osteoma differed from PTFOL by a greater degree of stroma vascularity, osteoid and bone trabeculae, typically randomly distributed without a zonal pattern and most significantly lined by numerous plump osteoblasts.…”

Section: Discussionmentioning

confidence: 97%

Post-traumatic fibro-osseous lesion of the ribs: a relatively under-recognised entity

Aubert

2006

J Clin Pathol

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Aim: To report the description of a rare benign osseous lesion affecting the ribs entitled post-traumatic fibro-osseous lesion (PTFOL). Methods: Seven cases of PTFOLs were retrieved from the archives of the University Hospital of Lille. Histological slides were reviewed and lesions were classified according to the histological patterns described by McDermott et al. Clinical and follow-up data were obtained from the patients' charts. Results: PTFOLs occurred principally in men (mean age 31.8 years) with a known or suspected previous chest injury for four of them. No previous cancer was noted. Radiologically, PTFOLs readily presented as an isolated expansive lucency with a sclerotic rim located on the last five ribs. A constant increased uptake of radionucleotide was noted on bone scan. Microscopically, two fibro-osseous, four xanthomatous and one mixed pattern were individualised. Lesions were characterised by a network of anastomosing bone trabeculae without osteoblast lining within a fibrous stroma. A zonal maturation from woven to peripheral lamellar bone was characterised. Central sheets of lipid-laden histiocytes were conspicuous in the xanthomatous type. For each patient, clinical follow-up was excellent, without any recurrence. Conclusions: This is the second largest series of PTFOLs, which is considered to be a dysplastic healing process after trauma. It may be symptomatic or shown by imaging studies realised for unrelated reason. PTFOL is regularly misdiagnosed with other more common lesions of the ribs, such as fibro-osseous dysplasia, osteoma osteoid and benign fibrous histiocytoma. Its recognition is of importance because no follow-up is needed after resection.

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“…Thus lesions more than 2 cm in diameter are considered as osteoblastoma [4,12,14]. Night pain is characteristic and is relieved by non-steroidal anti-inflammatory drugs (NSAIDs), and examples which do not cause pain are very rare [8,11].…”

Section: Introductionmentioning

confidence: 99%

Osteoid osteoma: the results of surgical treatment

Yıldız

Bayrakçı

Altay

et al. 2001

International Orthopaedics (SICOT)

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Between 1987 and 1999 we diagnosed and treated 110 patients with osteoid osteoma. Sixty patients were younger than 20 years. One hundred and four patients had characteristic pain at night. The mean duration of symptoms before surgery was 16 months. One hundred and four symptomatic patients were treated operatively with either wide resection or curettage. Ninety-one patients had immediate and complete relief of pain. The average follow-up was 2.5 years.Résumé Entre 1987 et 1999 nous avons traités 110 malades souffrant d'un ostéome osteoide. 60 malades étaient âgés de moins de 20 ans. 104 malades avaient la douleur nocturne caractéristique. La durée moyenne de symptô-mes avant la chirurgie était de 16 mois. 104 malades symptomatiques ont été opérés avec résection large ou curetage. 91 malades ont eu un soulagement immédiat et complet des douleurs. La moyenne de suivi était de 2.5 années.

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Painless osteoid osteoma of the rib in an adult: A case report and a review of the literature

Abstract: Costal OO is distinguished from osteoblastoma and from what has been described as painless fibro-osseous lesion of the rib. The infrequency of metastases as a cause of solitary rib lesion is emphasized.

Cited by 26 publications

References 37 publications

Phalangeal Osteoid Osteomas in the Hand

Phalangeal Osteoid Osteomas in the Hand

Post-traumatic fibro-osseous lesion of the ribs: a relatively under-recognised entity

Osteoid osteoma: the results of surgical treatment

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