Thank to everyone who responsed. The mainstay of opinions was old/choronic infarction, other opinions included benign calcified endochondroma, desmoplatic fibroma, chondrosarcoma, chondromixoid fibroma,liposclerosing myxofibrous tumor. The powerpoint attached in original email provided more details including X-ray and more MRI images. The pathologic dignosis was consistent with osteoma. The surgeon said the lesion was very hard.
Best,
Xianjing
—————— 原始邮件 ——————
发件人: “pengxianjing” <pengxianjing@foxmail.com>;;
发送时间: 2021年1月19日(星期二) 下午2:05
收件人: “ocad-msk”<ocad-msk@googlegroups.com>;;
抄送: “Xianjing Peng”<pengxianjing@foxmail.com>;;
主题: Please help! distal femoral slcerotic lesion, no idea what it is.
Hi,dear OCADers
46yr female, distal left femur pain more than 1 month, first biopsy revealed fibrotic and fat tissue with dead bone. I have no idea what it is. Any opinion will be arrpreciated. Thanks!
Best wishes,
Xianjing
there is no image on this post. Nor any attachment….
Thanks Sorin! Images have been added to the post.
Hi Xianjing,
My main diagnostic hypothesis would be *Bone infarction*
Best
Gustavo