Bizarre parosteal osteochondromatous proliferation with cortical invasion.

Abstract:

:A 15-year-old male presented with an 18-month history of increasing swelling on the radial aspect of his left forearm. Radiographs and MR images showed a partly calcified mass on the lateral border of the radius with erosion of the underlying cortex. Following a CT-guided needle biopsy, the mass was excised by segmental resection of the radial shaft with replacement by a vascularised fibular graft. Histological examination of the resected specimen showed many features typical of a bizarre parosteal osteochondromatous proliferation (BPOP) but with destruction of the underlying cortical bone by cellular spindle cell tissue. Although there were no cytological signs of malignancy, we believe that this unusual disease should be regarded as a particularly aggressive form of BPOP and treated by wide excision. Clinical follow-up of our patient at 2 years shows no sign of local recurrence or metastasis.

journal_name

Skeletal Radiol

journal_title

Skeletal radiology

authors

Helliwell TR,O'Connor MA,Ritchie DA,Feldberg L,Stilwell JH,Jane MJ

doi

10.1007/s002560100347

keywords:

subject

Has Abstract

pub_date

2001-05-01 00:00:00

pages

282-5

issue

5

eissn

0364-2348

issn

1432-2161

journal_volume

30

pub_type

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