Intracortical and subperiosteal lesion of unknown etiology.
A painful intracortical and subperiosteal lesion of the fibula with a 14 year follow-up is reported to regress to a painfree state. Infection is favored in the differential diagnosis. Biopsy with histological and radiographical correlation are essential for exclusion of: osteoid osteoma, osteoblastoma, periostitis, glomus tumor, eosinophilic granuloma, enostosis, hemangioma of bone, giant cell tumor, simple cyst, aneurysmal bone cyst, non-ossifying fibroma, polyostotic fibrous dysplasia, hyperparathyroidism, Paget's disease, localized area of avascular necrosis, stress fracture and even metastatic disease.
D001847:Bone Diseases / Q000175:diagnosis / Q000209:etiology; D001859:Bone Neoplasms / Q000175:diagnosis; D003937:Diagnosis, Differential; D005360:Fibula / Q000000981:diagnostic imaging; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010017:Osteoma, Osteoid / Q000175:diagnosis; D011859:Radiography; D012075:Remission, Spontaneous