Giant bone islands: a case with 31 years of follow-up.
A dense bone lesion raises immediate concern about the possibility of a primary or secondary tumor. Stability of the image over time is a strong argument against a malignancy. Benign solitary bone islands are usually believed to remain stable over time, with no tendency toward growth. We report a case in a patient with 31 years of follow-up, during which marked growth of the island was documented. The bone scan was normal, and histology established the diagnosis of benign bone island. In a patient with an enlarging sclerotic lesion, typical radiographic features and absence of radionuclide uptake are strong arguments in favor of a bone island.
Trombetti
Andrea
A
Rheumatology and bony pathology department, hĵpital Edouard-Herriot, Lyons, France.
Noël
Eric
E
D000368:Aged; D001847:Bone Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D005500:Follow-Up Studies; D006801:Humans; D007085:Ilium / Q000000981:diagnostic imaging / Q000473:pathology*; D008297:Male; D009999:Ossification, Heterotopic / Q000473:pathology; D014057:Tomography, X-Ray Computed