Limits...
Periosteal osteoblastoma of the pelvis: a rare case.

Patel S, Agrawal A, Maheshwari R, Chauhan VD - Iran J Med Sci (2015)

Bottom Line: The unusual location and inconclusive radiographic findings with diffused diagnostic evidences delays the management of benign osteoblastoma.Peroperatively, the tumor appeared as oval, reddish brown, bony hard mass lying just over the cortex of the right pubic ramus and not breaching the cortex.Histopathological study revealed an osteoid rich lesion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun, Uttarakhand, India.

ABSTRACT
Among the rare bone tumors, the osteoblastoma is a fascinating tumor. The rarity, the predisposition to occur in any bone and the diagnostic dilemma makes this infrequent tumor interesting. It is sporadically reported in the literature and what is rarer is its occurrence in the pelvis. The unusual location and inconclusive radiographic findings with diffused diagnostic evidences delays the management of benign osteoblastoma. We encountered a patient with benign osteoblastoma of the pubic ramus of right side. An excisional biopsy was performed. Peroperatively, the tumor appeared as oval, reddish brown, bony hard mass lying just over the cortex of the right pubic ramus and not breaching the cortex. Histopathological study revealed an osteoid rich lesion. Its presence in pubis must not be ignored and periosteal osteoblastoma should be considered as a differential diagnosis.

No MeSH data available.


Related in: MedlinePlus

A) Radiograph showing cartilaginous growth in right superior ramus of Pubic Bone, suggestive of osteochondroma. B) Noncontrast computed tomography of pelvis showing exostosis of 3×2.5 cm involving the right superior pubic ramus.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4300486&req=5

Figure 1: A) Radiograph showing cartilaginous growth in right superior ramus of Pubic Bone, suggestive of osteochondroma. B) Noncontrast computed tomography of pelvis showing exostosis of 3×2.5 cm involving the right superior pubic ramus.

Mentions: After taking a written informed consent from the patient, the case was included in this research presentation. A 22-year-old male, complained of vague pain in the lower back with radiation to right inguinal region for the past one year. On clinical examination, a tender, bony hard swelling was palpated on the right side appearing to originate from the right pubic ramus. The movements of hip joint were normal and examination of the spine did not reveal any spinal pathology. Laboratory studies including blood counts, urine analysis, serum calcium, phosphorus, and alkaline phosphatase were within normal limits. Roentgenograms (figure 1A) showed cartilaginous growth in right superior ramus suggestive of osteochondroma. Non-contrast computed tomography of the pelvis also suggested of exestosis of 3×2.5 cm involving the right superior pubic ramus (figure 1B).


Periosteal osteoblastoma of the pelvis: a rare case.

Patel S, Agrawal A, Maheshwari R, Chauhan VD - Iran J Med Sci (2015)

A) Radiograph showing cartilaginous growth in right superior ramus of Pubic Bone, suggestive of osteochondroma. B) Noncontrast computed tomography of pelvis showing exostosis of 3×2.5 cm involving the right superior pubic ramus.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4300486&req=5

Figure 1: A) Radiograph showing cartilaginous growth in right superior ramus of Pubic Bone, suggestive of osteochondroma. B) Noncontrast computed tomography of pelvis showing exostosis of 3×2.5 cm involving the right superior pubic ramus.
Mentions: After taking a written informed consent from the patient, the case was included in this research presentation. A 22-year-old male, complained of vague pain in the lower back with radiation to right inguinal region for the past one year. On clinical examination, a tender, bony hard swelling was palpated on the right side appearing to originate from the right pubic ramus. The movements of hip joint were normal and examination of the spine did not reveal any spinal pathology. Laboratory studies including blood counts, urine analysis, serum calcium, phosphorus, and alkaline phosphatase were within normal limits. Roentgenograms (figure 1A) showed cartilaginous growth in right superior ramus suggestive of osteochondroma. Non-contrast computed tomography of the pelvis also suggested of exestosis of 3×2.5 cm involving the right superior pubic ramus (figure 1B).

Bottom Line: The unusual location and inconclusive radiographic findings with diffused diagnostic evidences delays the management of benign osteoblastoma.Peroperatively, the tumor appeared as oval, reddish brown, bony hard mass lying just over the cortex of the right pubic ramus and not breaching the cortex.Histopathological study revealed an osteoid rich lesion.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Himalayan Institute of Medical Sciences, Swami Ram Nagar, Dehradun, Uttarakhand, India.

ABSTRACT
Among the rare bone tumors, the osteoblastoma is a fascinating tumor. The rarity, the predisposition to occur in any bone and the diagnostic dilemma makes this infrequent tumor interesting. It is sporadically reported in the literature and what is rarer is its occurrence in the pelvis. The unusual location and inconclusive radiographic findings with diffused diagnostic evidences delays the management of benign osteoblastoma. We encountered a patient with benign osteoblastoma of the pubic ramus of right side. An excisional biopsy was performed. Peroperatively, the tumor appeared as oval, reddish brown, bony hard mass lying just over the cortex of the right pubic ramus and not breaching the cortex. Histopathological study revealed an osteoid rich lesion. Its presence in pubis must not be ignored and periosteal osteoblastoma should be considered as a differential diagnosis.

No MeSH data available.


Related in: MedlinePlus