Conditions Simulating Primary Bone Neoplasms

Surg Pathol Clin. 2017 Sep;10(3):731-748. doi: 10.1016/j.path.2017.04.012.

Abstract

A number of nonneoplastic conditions can mimic tumors of bone. Some of the more common mimics of primary bone tumors include infectious, inflammatory, periosteal, and degenerative joint disease-associated lesions that produce tumorlike bone surface-based or intraosseous lesions. This article considers a spectrum of reactive and nonreactive processes including stress fracture, subchondral cysts, osteonecrosis, heterotopic ossification, osteomyelitis, sarcoidosis, and amyloidoma that can present in such a way that they are mistaken for a tumor arising primary in bone.

Keywords: Amyloidosis; Heterotopic ossification; Osteomyelitis; Osteonecrosis; Sarcoidosis; Stress fracture; Subchondral cyst.

Publication types

  • Review

MeSH terms

  • Bone Cysts / diagnostic imaging
  • Bone Cysts / pathology
  • Bone Diseases / diagnostic imaging
  • Bone Diseases / pathology
  • Bone Neoplasms / diagnostic imaging*
  • Bone Neoplasms / pathology*
  • Diagnosis, Differential
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / pathology
  • Humans
  • Ossification, Heterotopic / diagnostic imaging
  • Ossification, Heterotopic / pathology
  • Osteomyelitis / diagnostic imaging
  • Osteomyelitis / pathology
  • Osteonecrosis / diagnostic imaging
  • Osteonecrosis / pathology