Osteoidosteoma / osteochondroma or chondrosarcoma

Artur Kusak,

This is a beautiful case of a periosteal/subperiosteal osteoid osteoma or less likely osteoblastoma.

Kanesa-Thasan presented a series of about 40 of these at RSNA 2023 but publication still pending and the femoral neck was the most common location, M>F & diagnosis was often ages 25-35. They respond well to RFA but can be technically challenging because operators need to find a place to anchor the cannula.

Best,
Adam

Hello everyone,

Greetings from Poland,

A 31-year-old patient has been experiencing hip pain for a year. X-ray and MRI examinations were performed, revealing a lesion at the level of the femoral neck. Could you tell me whether it is more likely to be an osteoid osteoma / osteochondroma, or should I consider something malignant, such as chondrosarcoma?

Best regards,
Artur Kusak,
Lodz, Poland

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