Bone tumor mimics: avoiding misdiagnosis.
Whether discovered incidentally or as part of a focused diagnostic evaluation, the finding of a benign osseous lesion that has radiologic features resembling a bone tumor is not uncommon. Some of the more common benign and nonneoplastic entities that can sometimes be confused with tumors are the following: cortical desmoid, Brodie abscess, synovial herniation pit, pseudocyst, enostosis, intraosseous ganglion cyst, fibrous dysplasia, stress fracture, avulsion fracture (healing stage), bone infarct, myositis ossificans, brown tumor, and subchondral cyst. Accurate diagnosis and management of these lesions require a basic understanding of their epidemiology, clinical presentations, anatomic distributions, imaging features, differential considerations, and therapeutic options. This in-depth review of 13 potential bone tumor mimics will assist the radiologist in correctly identifying these benign lesions and in avoiding misdiagnosis and related morbidity. This review will also aid the radiologist in making appropriate recommendations to the referring physician for management or further imaging.
Gould
C Frank
CF
Naval Aerospace Medical Institute, Pensacola, FL, USA.
Ly
Justin Q
JQ
Lattin
Grant E
GE
Beall
Douglas P
DP
Sutcliffe
Joseph B
JB
D000843:Ankle Joint / Q000000981:diagnostic imaging; D001845:Bone Cysts / Q000175:diagnosis / Q000473:pathology; D001847:Bone Diseases / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000000981:diagnostic imaging; D001842:Bone and Bones / Q000098:blood supply; D003937:Diagnosis, Differential; D005272:Femur Neck / Q000473:pathology; D018222:Desmoid Tumors / Q000175:diagnosis; D005357:Fibrous Dysplasia of Bone / Q000175:diagnosis; D015775:Fractures, Stress / Q000175:diagnosis; D045888:Ganglion Cysts / Q000175:diagnosis; D006801:Humans; D007238:Infarction / Q000175:diagnosis; D008279:Magnetic Resonance Imaging; D009221:Myositis Ossificans / Q000175:diagnosis; D014057:Tomography, X-Ray Computed