Fibroma other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]

Overview

Other imaging studies for ossifying fibroma include bone scan, which demonstrates mild hyperemia and moderate bone uptake during healing. However, in general they are negative.[1][1]

Other Imaging Findings

Bone Scan

Ossifying Fibroma

Appearance of ossifying fibroma depends on the phase of the lesion. In general they are negative; however, mild hyperaemia and moderate bone uptake are present during healing. If extensive uptake or hyperaemia are present, then an alternative diagnosis or superimposed fracture should be considered.[1]

Non ossifying fibroma

They are metabolically active on F18-FDG-PET images.That activity, probably is independent of lesion size, varies among patients and over time, as indicated by their F18-FDG uptake on PET. [2][3][4]

Chondromyxoid Fibroma

On bone scans, the scintigraphic "doughnut sign" has been described in chondromyxoid fibroma. However, this is very nonspecific and can be seen in many other bone lesions.[5]

References

  1. 1.0 1.1 1.2 Fibroma. Radiopedia(2015) http://radiopaedia.org/articles/chondromyxoid-fibroma Accessed on March 12, 2016
  2. Pagano M, Berta M, Postini AM, Bianchi M, Del Prever AB, Defilippi C, Ficola U, Cistaro A (2011). "Nonossifying fibroma: A possible pitfall in F18-FD-PET/CT imaging of Hodgkin's disease". Radiol Case Rep. 6 (2): 271. doi:10.2484/rcr.v6i2.271. PMC 4901151. PMID 27307893.
  3. Betsy M, Kupersmith LM, Springfield DS (2004). "Metaphyseal fibrous defects". J Am Acad Orthop Surg. 12 (2): 89–95. PMID 15089082.
  4. Goodin GS, Shulkin BL, Kaufman RA, McCarville MB (October 2006). "PET/CT characterization of fibroosseous defects in children: 18F-FDG uptake can mimic metastatic disease". AJR Am J Roentgenol. 187 (4): 1124–8. doi:10.2214/AJR.06.0171. PMID 16985165.
  5. Hamada, Kenichiro; Tomita, Yasuhiko; Konishi, Eiichi; Fujimoto, Tetsuho; Jin, Yu Fen; Outani, Hidetatsu; Tamiya, Hironari; Naka, Norifumi; Araki, Nobuhito (2009). "FDG-PET Evaluation of Chondromyxoid Fibroma of Left Ilium". Clinical Nuclear Medicine. 34 (1): 15–17. doi:10.1097/RLU.0b013e31818f464b. ISSN 0363-9762.


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