Sandbox: Bone DDx: Difference between revisions

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* 10-35 yo males  
* 55-60 yo males
* Deep, constant, aching, localized bone pain
* Back pain
* Pain worse at night
* Pathological fracture
* Pain relieved by aspirin
* Palpable vertebral mass


* Restricted range of motion


* Discrete, solitary mass male 55 years
* Pain at the site of the skeletal lesion
* Bone destruction


* No specific lab findings
* Well-defined, “punched-out” lytic lesions
 
* Marked erosion, expansion, and destruction of bone cortex
 
* Thick ridging around the periphery
* Well circumscribed lucent cortical lesion located at the femur
* “Soap bubble” appearance
* Less than 2 cm in diameter with cortical thickening
* Surrounded by reactive sclerosis
* Ovoid central region of mineralisation

Latest revision as of 20:27, 24 November 2015

  • 55-60 yo males
  • Back pain
  • Pathological fracture
  • Palpable vertebral mass


  • Discrete, solitary mass male 55 years
  • Pain at the site of the skeletal lesion
  • Bone destruction
  • Well-defined, “punched-out” lytic lesions
  • Marked erosion, expansion, and destruction of bone cortex
  • Thick ridging around the periphery
  • “Soap bubble” appearance
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