Benign Bone Tumors - AMBOSS

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Predominantly osseous tumors


Benign bone tumors

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Summary
Type Description Peak Location Characteristics
Incidence
Overview of benign bone tumors
Predominantly osseous tumors Osteoid Predominantly cortical 10–30 years Diaphysis of long Severe nocturnal pain
Tumors with cartilaginous components osteoma small tumor (∼1 cm) bones (proximal Pain responds to aspirin and NSAIDs.
Cysts and hemangiomas tibia)
Conventional x-ray: perifocal sclerosis around a lucent
Vertebrae nidus
Giant-cell tumor of bone
Surgery is necessary if pain becomes unresponsive to
(osteoclastoma) medication.

Osteochondroma (cartilaginous Osteoblastoma Tumor resembles osteoid 10–20 years Spine Severe chronic pain (not nocturnal) that is unresponsive
exostosis) osteoma, but is larger in (predominantly to NSAIDs
size (> 2 cm) posterior column) X-ray: located in cortical bone; central lucent nidus with
Enchondroma mild or absent perifocal sclerosis

Synovial chondromatosis Giant-cell tumor Tumor arising from giant 20–40 years Epiphysis of the Local pain and swelling
(osteoclastoma) cells of the bone marrow long bones (usually Pathological fractures
Osteoid osteoma and osteoblastoma around the knee)
X-ray: multicystic osteolytic lesions
Osteoid osteoma
Histopathology: multinucleated giant cells
Osteoblastoma
Risk of malignant degeneration increases with age.
Osteoma
Osteoma Benign round bone tumor Any age OMen skull (nasal Usually asymptomatic
Nonossifying fibroma sinuses)
An osteoma of a nasal sinus may result in obstruction of
Long bones the ostium, with subsequent congestion presenting with
Aneurysmal bone cysts pressure headaches.

Intraosseous hemangioma Torus palatinus Benign bony overgrowth of Young Roof of the mouth Usually asymptomatic and requires no treatment
the hard palate adults (midline hard If it interferes with speech or eating, surgery is an option.
Langerhans cell histiocytosis palate)

References

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