Osteoblastoma of the Second Metatarsal: A Case Report
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 24
Abstract
Aims: To present the clinical, radiographic and histopathological features of an osteoblastoma localized to the second metatarsal of a 50-year-old woman that was successfully treated with intralesional curettage. Case Presentation: A 50-year-old woman presented with localized swelling and tenderness of the right forefoot of 3 years’ duration. She reported increased swelling and intense pain, worse at night, during the last 6 months. Imaging included plain radiographs, computed tomography (CT) and magnetic resonance imaging (MRI) and was indicative of a benign process. An expansile osteoblastic lesion was identified in the diaphysis of the second metatarsal on x-rays. A lytic bone lesion surrounded by an intact cortical rim with evidence of intralesional ossifications was evident on both CT scan and MRI. In the latter, there were also signs of bone marrow and soft tissue edema. The lesion was treated surgically with curettage and an osteoblastoma was diagnosed at biopsy. No further treatment was undertaken. No recurrence has occurred during a 7-year follow-up. Discussion: Osteoblastoma is a rare benign osteoblastic neoplasm with a scarce localization to the metatarsals. Diagnosis is not difficult when the typical clinical and imaging features are present. Surgical treatment may offer intralesional curettage or wide resection to reduce recurrence rates in locally aggressive tumors, recurrent lesions, or in cases with suspected malignancy. In the reported case the lesion was misdiagnosed as an area of osteomyelitis. Definitive diagnosis was based on curettage-excision of the lesion indicating the typical histological pattern of osteoblastoma. Conclusion: The clinical and radiographic appearance of osteoblastoma may be variable and can mimic other tumors or tumorous conditions. Differential diagnosis may be especially challenging and histological analysis of the biopsy specimens may be the diagnostic cornerstone.
Authors and Affiliations
N. K. Sferopoulos
Keywords
Related Articles
- EP ID EP349024
- DOI 10.9734/BJMMR/2014/10567
- Views 77
- Downloads 0
Predictors of Abdominal Obesity among Adult Nigerians in a Resource-poor Environment of a Rural Hospital in Eastern Nigeria
Background: Abdominal obesity once considered an aesthetic rather than a pathological condition is now recognized as a principal risk factor for metabolic syndrome and magnifies the risk of cardiovascular diseases. As th...
Primary Intracerebral Haematoma Evacuation: A Case Report
Spontaneous intracerebral hemorrhage is one of the most devastating types of stroke, leading to disability and high mortality rate. Besides blood pressure reduction and intensive medical and surgical treatment, immediate...
Curcumin Effects on Hepatic Steatosis and Histopathology in an Obese Mouse Mode
Aims: Curcumin is a popular spice and part of the ancient medicinal system Ayurveda. It is known to have anti-inflammatory, antimicrobial and antioxidant properties; research has shown curcumin to have beneficial effect...
Cell Elasticity-based Microfluidic Label-free Isolation of Metastatic Tumor Cells
Aims: Circulating tumor cells (CTCs) have significant diagnostic value for cancer patients. We report a label-free, simple and rapid microchannel filter type device for isolation of known metastatic cancer cells based on...
Anemia Management Practice in French Hemodialysis Centers
Objective: Evaluate the hemoglobin (Hb) target values in hemodialysis (HD) patients treated with erythropoiesis-stimulating agents (ESA). Methods: Records of anemia parameters of HD patients treated during year 2012 in...