Would also include ACT/CS1 in view of slight endosteal scalloping and slight peri-lesional edema.
agree, I usually suggest, in these cases, imaging control in 6 months.
Unfortunately, I think this has to be biopsied.
Depending on other factors (size of the index tumors, sentinel lymph node biopsy results, etc), the histology of this lesion can impact surgical options.
One suggestion if you do go after this – prior to obtaining a core sample, I highly recommend using a 22G spinal needle to FNA the lesion. With a number of adenocarcinomas, but especially with invasive ductal carcinomas, I have had the pathologists tell me during Tumor Board that the FNA sample is where the diagnostic tissue was, not in the core.
yeah … looks chondroid.
Just FAI cyst
ot-rads2
Synovial herniation pit (Pitt’s pit)
It would place a low-grade chondral lesion.
Chondral lesion in the epiphysis, I’m always worried.
Looks like, but an enchondroma should not have marrow edema unless it has had a microfracture.
Agree
Assume X-ray is similar
Diagnosis of breast cancer 15 days ago, showing a focal area of increased uptake in the proximal femur by scintigraphy. At MRI it is an enchondroma for me, but I would like to know the opinion of colleagues. Ciro
