Bone Pathology Database

Teaching Version


Text in Italics is general (instructional) information

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2nd image
X Ray
Third image
The Xray view shows sclerosis of the shaft of the femur and a periosteal reaction.
The sclerotic bone lesion in a child can sometimes be difficult to diagnose without a biopsy. If malignancy is suspected a biopsy is mandatory.
The differential diagnosis includes Chronic osteomyelitis, Ewing's and a haematological malignancy. The ESR can also be raised in these conditions. Other causes of a periosteal reaction are stress fractures and an osteoid osteoma. It was necessary to biopsy the femur to exclude malignant causes.

Record 51