Osteoblastoma
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Osteoblastoma | |
---|---|
Diagnosis in short | |
Osteoblastoma. H&E stain. | |
| |
LM | anastomosing bony trabeculae with variable mineralization, osteoblast rimming, no nuclear atypia of osteocytes |
LM DDx | osteoid osteoma, osteosarcoma |
Clinical history | usu. 15-20 years old, males > females |
Symptoms | +/-pain |
Radiology | > 1.5 cm (smaller lesions osteoid osteoma) |
Clin. DDx | osteosarcoma |
Osteoblastoma is benign primary bone tumour.
General
- Benign bone tumour.
- Uncommon.[1]
- Typically age 15-20 and male (male:female = ~2:1).[2]
- Treatment: resection.[2]
Gross
- Bone.
- Vertebral column and sacrum - most common in one large series.[3]
- Must be greater 1.5 cm by definition.[4]
Microscopic
Features:[5]
- Anastomosing bony trabeculae with:
- Osteoblasts rimming.
- Cells line-up at edge of bone.
- Osteoblasts rimming.
Notes:
- Histomorphologically near identical/indistinguishable from osteoid osteoma.[4]
Images
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BONE, LEFT FEMUR, EXCISION: - OSTEOBLASTOMA.
See also
References
- ↑ Khan, IS.; Thakur, JD.; Chittiboina, P.; Nanda, A.. "Large sacral osteoblastoma: a case report and review of multi-disciplinary management strategies.". J La State Med Soc 164 (5): 251-5. PMID 23362588.
- ↑ 2.0 2.1 Villalobos, CE.; Rybak, LD.; Steiner, GC.; Wittig, JC. (2010). "Osteoblastoma of the sternum--case report and review of the literature.". Bull NYU Hosp Jt Dis 68 (1): 55-9. PMID 20345366.
- ↑ Lucas, DR.; Unni, KK.; McLeod, RA.; O'Connor, MI.; Sim, FH. (Feb 1994). "Osteoblastoma: clinicopathologic study of 306 cases.". Hum Pathol 25 (2): 117-34. PMID 8119712.
- ↑ 4.0 4.1 Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Oberman, Harold A; Reuter, Victor E (2004). Sternberg's Diagnostic Surgical Pathology (4th ed.). Lippincott Williams & Wilkins. pp. 286. ISBN 978-0781740517.
- ↑ Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Oberman, Harold A; Reuter, Victor E (2004). Sternberg's Diagnostic Surgical Pathology (4th ed.). Lippincott Williams & Wilkins. pp. 285. ISBN 978-0781740517.