Sandbox: Bone DDx: Difference between revisions

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* Localised bone tenderness
* Localised bone tenderness


* Epiphyses of the long bones
* Epiphyses of the femur
* Solitary expansile eccentrically-placed lytic lesion
* Solitary expansile eccentrically-placed lytic lesion
* Intratumoral hemorrhage present
* Intratumoral hemorrhage present

Revision as of 15:44, 24 November 2015

  • 20-30 yo female
  • Bone pain and swelling
  • Pathologic fracture
  • Paget disease of bone
  • Localised bone tenderness
  • Epiphyses of the femur
  • Solitary expansile eccentrically-placed lytic lesion
  • Intratumoral hemorrhage present
  • Tumor extends into the subchondral plate
  • Uniform and regular distribution of multinucleated giant cells and mononuclear stromal cells
  • Hemorrhage, necrosis, and hemosiderin deposition
  • Elevated mitotic figures


  • Acid phosphatase +ve
  • Alpha-1-antitrypsin +ve
  • Alpha-1-antichymotrypsin +ve
  • Ki-67 +ve