Eosinophilic granuloma of bilateral humerus with unusual diagnostic process.
A 15-year-old boy presented with a right shoulder pain and the inability to use his right upper limb after carrying a heavy object. Physical examination and local imaging revealed a benign tumor or tumor-like lesion in the upper ends of both humeri and a pathologic fracture in the right humerus. An initial biopsy was reported as fibroblastic osteosarcoma. But the CT-guided biopsy was diagnosed as eosinophilic granuloma (EG). Bone curretage and grafting confirmed diagnosis of EG. This case illustrates the importance of combining a clinical impression with imaging and pathology in bone and soft tissue tumors.
Department of Orthopaedic Surgery, The First Affiliated Hospital of Sun Yat-Sen University, Guang Zhou, China.
Yao-Fei
YF
Wang
Jing-Nan
JN
Shen
Jin
J
Wang
Gang
G
Huang
Xian-Biao
XB
Xie
D000293:Adolescent; D003475:Curettage; D004803:Eosinophilic Granuloma / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006801:Humans; D006811:Humerus / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed