Difference between revisions of "Osteoblastoma"

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==Gross==
==Gross==
*Bone.
*Bone.
**May be in the spine.<ref>{{Cite journal  | last1 = Boriani | first1 = S. | last2 = Amendola | first2 = L. | last3 = Bandiera | first3 = S. | last4 = Simoes | first4 = CE. | last5 = Alberghini | first5 = M. | last6 = Di Fiore | first6 = M. | last7 = Gasbarrini | first7 = A. | title = Staging and treatment of osteoblastoma in the mobile spine: a review of 51 cases. | journal = Eur Spine J | volume = 21 | issue = 10 | pages = 2003-10 | month = Oct | year = 2012 | doi = 10.1007/s00586-012-2395-8 | PMID = 22695702 }}</ref>
**Vertebral column and sacrum - most common in one large series.<ref name=pmid8119712>{{Cite journal  | last1 = Lucas | first1 = DR. | last2 = Unni | first2 = KK. | last3 = McLeod | first3 = RA. | last4 = O'Connor | first4 = MI. | last5 = Sim | first5 = FH. | title = Osteoblastoma: clinicopathologic study of 306 cases. | journal = Hum Pathol | volume = 25 | issue = 2 | pages = 117-34 | month = Feb | year = 1994 | doi = | PMID = 8119712 }}</ref>
*'''Must''' be greater 1.5 cm by definition.<ref name=Ref_Sternberg4_286>{{Ref Sternberg4|286}}</ref>
*'''Must''' be greater 1.5 cm by definition.<ref name=Ref_Sternberg4_286>{{Ref Sternberg4|286}}</ref>


==Microscopic==
==Microscopic==

Revision as of 21:31, 26 August 2013

Osteoblastoma
Diagnosis in short

Osteoblastoma. H&E stain.

LM anastomosing bony trabeculae with variable mineralization, osteoblast rimming, no nuclear atypia of osteocytes
LM DDx osteoid osteoma, osteosarcoma
Clinical history usu. 15-20 years old, males > females
Symptoms +/-pain
Radiology > 1.5 cm (smaller lesions osteoid osteoma)
Clin. DDx osteosarcoma

Osteoblastoma is benign primary bone tumour.

General

  • Benign bone tumour.
  • Uncommon.[1]
  • Typically age 15-20 and male (male:female = ~2:1).[2]
  • Treatment: resection.[2]

Gross

  • Bone.
    • Vertebral column and sacrum - most common in one large series.[3]
  • Must be greater 1.5 cm by definition.[4]

Microscopic

Features:[5]

  • Anastomosing bony trabeculae with:
    • Osteoblasts rimming.
      • Cells line-up at edge of bone.

Notes:

Images

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BONE, LEFT FEMUR, EXCISION:
- OSTEOBLASTOMA.

See also

References

  1. Khan, IS.; Thakur, JD.; Chittiboina, P.; Nanda, A.. "Large sacral osteoblastoma: a case report and review of multi-disciplinary management strategies.". J La State Med Soc 164 (5): 251-5. PMID 23362588.
  2. 2.0 2.1 Villalobos, CE.; Rybak, LD.; Steiner, GC.; Wittig, JC. (2010). "Osteoblastoma of the sternum--case report and review of the literature.". Bull NYU Hosp Jt Dis 68 (1): 55-9. PMID 20345366.
  3. Lucas, DR.; Unni, KK.; McLeod, RA.; O'Connor, MI.; Sim, FH. (Feb 1994). "Osteoblastoma: clinicopathologic study of 306 cases.". Hum Pathol 25 (2): 117-34. PMID 8119712.
  4. 4.0 4.1 Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Oberman, Harold A; Reuter, Victor E (2004). Sternberg's Diagnostic Surgical Pathology (4th ed.). Lippincott Williams & Wilkins. pp. 286. ISBN 978-0781740517.
  5. Mills, Stacey E; Carter, Darryl; Greenson, Joel K; Oberman, Harold A; Reuter, Victor E (2004). Sternberg's Diagnostic Surgical Pathology (4th ed.). Lippincott Williams & Wilkins. pp. 285. ISBN 978-0781740517.