Sandbox: Bone DDx: Difference between revisions

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* Gradual dull bone pain at the tibial area
* Gradual dull bone pain at the tibial area
* Leg swelling
* Leg swelling
* Islands of epithelial cells are found in a fibrous stroma
 


* Well-demarcated, eccentric/epicenteric, expansile, osteolytic, cortical lesion on X ray
* Well-demarcated, eccentric/epicenteric, expansile, osteolytic, cortical lesion on X ray
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* Areas of lysis interspersed with areas of sclerosis
* Areas of lysis interspersed with areas of sclerosis
* Lack of periosteal reaction
* Lack of periosteal reaction


* Biphasic tumor
* Biphasic tumor
* Islands of epithelial cells found in a fibrous stroma
* Fibro-osseous component includes spindle cells
* Fibro-osseous component includes spindle cells
* Epithelial component includes nests of basaloid cells
* Epithelial component includes nests of basaloid cells

Revision as of 14:24, 23 November 2015

  • 20-30 yo male
  • Gradual dull bone pain at the tibial area
  • Leg swelling


  • Well-demarcated, eccentric/epicenteric, expansile, osteolytic, cortical lesion on X ray
  • Located at the tibial diaphysis
  • Areas of lysis interspersed with areas of sclerosis
  • Lack of periosteal reaction


  • Biphasic tumor
  • Islands of epithelial cells found in a fibrous stroma
  • Fibro-osseous component includes spindle cells
  • Epithelial component includes nests of basaloid cells
  • p53 gene mutations
  • CK14 +ve
  • CK19 +ve