Fibroma other imaging findings: Difference between revisions
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{{CMG}}; {{AE}}{{M.N}}, {{Simrat}} | {{CMG}}; {{AE}}{{M.N}}, {{Simrat}} | ||
==Overview== | ==Overview== | ||
Other imaging studies for ossifying fibroma include [[bone scan]], which demonstrates mild hyperemia and moderate bone uptake during healing. However, in general they are negative. | Other [[imaging]] studies for ossifying fibroma include [[bone scan]], which demonstrates mild [[hyperemia]] and moderate [[bone]] uptake during [[healing]]. However, in general they are negative. | ||
==Other Imaging Findings== | ==Other Imaging Findings== | ||
==Bone Scan== | ==Bone Scan== | ||
===Ossifying Fibroma=== | ===Ossifying Fibroma=== | ||
Appearance of [[ossifying fibroma]] depends on the phase of the lesion. In general they are negative; however, mild hyperaemia and moderate bone uptake are present during healing. If extensive uptake or hyperaemia are present, then an alternative diagnosis or superimposed fracture should be considered. | Appearance of [[ossifying fibroma]] depends on the phase of the [[lesion]]. In general they are negative; however, mild [[hyperaemia]] and moderate [[bone]] uptake are present during [[healing]]. If extensive uptake or [[hyperaemia]] are present, then an alternative [[diagnosis]] or superimposed [[fracture]] should be considered. | ||
===Non ossifying fibroma=== | ===Non ossifying fibroma=== | ||
They are metabolically active on F18-FDG-PET images.That activity, probably is independent of lesion size, varies among patients and over time, as indicated by their F18-FDG uptake on PET. <ref name="pmid27307893">{{cite journal |vauthors=Pagano M, Berta M, Postini AM, Bianchi M, Del Prever AB, Defilippi C, Ficola U, Cistaro A |title=Nonossifying fibroma: A possible pitfall in F18-FD-PET/CT imaging of Hodgkin's disease |journal=Radiol Case Rep |volume=6 |issue=2 |pages=271 |date=2011 |pmid=27307893 |pmc=4901151 |doi=10.2484/rcr.v6i2.271 |url=}}</ref><ref name="pmid15089082">{{cite journal |vauthors=Betsy M, Kupersmith LM, Springfield DS |title=Metaphyseal fibrous defects |journal=J Am Acad Orthop Surg |volume=12 |issue=2 |pages=89–95 |date=2004 |pmid=15089082 |doi= |url=}}</ref><ref name="pmid16985165">{{cite journal |vauthors=Goodin GS, Shulkin BL, Kaufman RA, McCarville MB |title=PET/CT characterization of fibroosseous defects in children: 18F-FDG uptake can mimic metastatic disease |journal=AJR Am J Roentgenol |volume=187 |issue=4 |pages=1124–8 |date=October 2006 |pmid=16985165 |doi=10.2214/AJR.06.0171 |url=}}</ref> | They are [[Metabolic|metabolically]] active on F18-[[FDG-PET]] images.That activity, probably is independent of [[lesion]] size, varies among [[patients]] and over time, as indicated by their F18-[[FDG]] uptake on [[PET]]. <ref name="pmid27307893">{{cite journal |vauthors=Pagano M, Berta M, Postini AM, Bianchi M, Del Prever AB, Defilippi C, Ficola U, Cistaro A |title=Nonossifying fibroma: A possible pitfall in F18-FD-PET/CT imaging of Hodgkin's disease |journal=Radiol Case Rep |volume=6 |issue=2 |pages=271 |date=2011 |pmid=27307893 |pmc=4901151 |doi=10.2484/rcr.v6i2.271 |url=}}</ref><ref name="pmid15089082">{{cite journal |vauthors=Betsy M, Kupersmith LM, Springfield DS |title=Metaphyseal fibrous defects |journal=J Am Acad Orthop Surg |volume=12 |issue=2 |pages=89–95 |date=2004 |pmid=15089082 |doi= |url=}}</ref><ref name="pmid16985165">{{cite journal |vauthors=Goodin GS, Shulkin BL, Kaufman RA, McCarville MB |title=PET/CT characterization of fibroosseous defects in children: 18F-FDG uptake can mimic metastatic disease |journal=AJR Am J Roentgenol |volume=187 |issue=4 |pages=1124–8 |date=October 2006 |pmid=16985165 |doi=10.2214/AJR.06.0171 |url=}}</ref> | ||
===Chondromyxoid Fibroma=== | ===Chondromyxoid Fibroma=== | ||
*On bone scans, the scintigraphic "doughnut sign" has been described in [[chondromyxoid fibroma]]. However, this is very nonspecific and can be seen in many other bone lesions.<ref name="HamadaTomita2009">{{cite journal|last1=Hamada|first1=Kenichiro|last2=Tomita|first2=Yasuhiko|last3=Konishi|first3=Eiichi|last4=Fujimoto|first4=Tetsuho|last5=Jin|first5=Yu Fen|last6=Outani|first6=Hidetatsu|last7=Tamiya|first7=Hironari|last8=Naka|first8=Norifumi|last9=Araki|first9=Nobuhito|title=FDG-PET Evaluation of Chondromyxoid Fibroma of Left Ilium|journal=Clinical Nuclear Medicine|volume=34|issue=1|year=2009|pages=15–17|issn=0363-9762|doi=10.1097/RLU.0b013e31818f464b}}</ref><ref name="MakisCiarallo2011">{{cite journal|last1=Makis|first1=William|last2=Ciarallo|first2=Anthony|last3=Lisbona|first3=Robert|title=Chondromyxoid fibroma of the rib mimics a chondrosarcoma on 18F-FDG PET/CT|journal=Acta Radiologica|volume=52|issue=5|year=2011|pages=554–556|issn=0284-1851|doi=10.1258/ar.2011.100526}}</ref><ref name="SubhawongWinn2017">{{cite journal|last1=Subhawong|first1=Ty K.|last2=Winn|first2=Aaron|last3=Shemesh|first3=Shai S.|last4=Pretell-Mazzini|first4=Juan|title=F-18 FDG PET differentiation of benign from malignant chondroid neoplasms: a systematic review of the literature|journal=Skeletal Radiology|volume=46|issue=9|year=2017|pages=1233–1239|issn=0364-2348|doi=10.1007/s00256-017-2685-7}}</ref> | *On [[Bone scan|bone scans]], the [[scintigraphic]] "doughnut sign" has been described in [[chondromyxoid fibroma]]. However, this is very nonspecific and can be seen in many other [[bone]] [[lesions]].<ref name="HamadaTomita2009">{{cite journal|last1=Hamada|first1=Kenichiro|last2=Tomita|first2=Yasuhiko|last3=Konishi|first3=Eiichi|last4=Fujimoto|first4=Tetsuho|last5=Jin|first5=Yu Fen|last6=Outani|first6=Hidetatsu|last7=Tamiya|first7=Hironari|last8=Naka|first8=Norifumi|last9=Araki|first9=Nobuhito|title=FDG-PET Evaluation of Chondromyxoid Fibroma of Left Ilium|journal=Clinical Nuclear Medicine|volume=34|issue=1|year=2009|pages=15–17|issn=0363-9762|doi=10.1097/RLU.0b013e31818f464b}}</ref><ref name="MakisCiarallo2011">{{cite journal|last1=Makis|first1=William|last2=Ciarallo|first2=Anthony|last3=Lisbona|first3=Robert|title=Chondromyxoid fibroma of the rib mimics a chondrosarcoma on 18F-FDG PET/CT|journal=Acta Radiologica|volume=52|issue=5|year=2011|pages=554–556|issn=0284-1851|doi=10.1258/ar.2011.100526}}</ref><ref name="SubhawongWinn2017">{{cite journal|last1=Subhawong|first1=Ty K.|last2=Winn|first2=Aaron|last3=Shemesh|first3=Shai S.|last4=Pretell-Mazzini|first4=Juan|title=F-18 FDG PET differentiation of benign from malignant chondroid neoplasms: a systematic review of the literature|journal=Skeletal Radiology|volume=46|issue=9|year=2017|pages=1233–1239|issn=0364-2348|doi=10.1007/s00256-017-2685-7}}</ref> | ||
*On FDG-PET scan it showed increased accumulation of fluorodeoxyglucose. | *On [[FDG-PET]] scan it showed increased accumulation of [[fluorodeoxyglucose]]. | ||
==References== | ==References== | ||
Latest revision as of 16:56, 11 July 2019
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Maneesha Nandimandalam, M.B.B.S.[2], Simrat Sarai, M.D. [3]
Overview
Other imaging studies for ossifying fibroma include bone scan, which demonstrates mild hyperemia and moderate bone uptake during healing. However, in general they are negative.
Other Imaging Findings
Bone Scan
Ossifying Fibroma
Appearance of ossifying fibroma depends on the phase of the lesion. In general they are negative; however, mild hyperaemia and moderate bone uptake are present during healing. If extensive uptake or hyperaemia are present, then an alternative diagnosis or superimposed fracture should be considered.
Non ossifying fibroma
They are metabolically active on F18-FDG-PET images.That activity, probably is independent of lesion size, varies among patients and over time, as indicated by their F18-FDG uptake on PET. [1][2][3]
Chondromyxoid Fibroma
- On bone scans, the scintigraphic "doughnut sign" has been described in chondromyxoid fibroma. However, this is very nonspecific and can be seen in many other bone lesions.[4][5][6]
- On FDG-PET scan it showed increased accumulation of fluorodeoxyglucose.
References
- ↑ Pagano M, Berta M, Postini AM, Bianchi M, Del Prever AB, Defilippi C, Ficola U, Cistaro A (2011). "Nonossifying fibroma: A possible pitfall in F18-FD-PET/CT imaging of Hodgkin's disease". Radiol Case Rep. 6 (2): 271. doi:10.2484/rcr.v6i2.271. PMC 4901151. PMID 27307893.
- ↑ Betsy M, Kupersmith LM, Springfield DS (2004). "Metaphyseal fibrous defects". J Am Acad Orthop Surg. 12 (2): 89–95. PMID 15089082.
- ↑ Goodin GS, Shulkin BL, Kaufman RA, McCarville MB (October 2006). "PET/CT characterization of fibroosseous defects in children: 18F-FDG uptake can mimic metastatic disease". AJR Am J Roentgenol. 187 (4): 1124–8. doi:10.2214/AJR.06.0171. PMID 16985165.
- ↑ Hamada, Kenichiro; Tomita, Yasuhiko; Konishi, Eiichi; Fujimoto, Tetsuho; Jin, Yu Fen; Outani, Hidetatsu; Tamiya, Hironari; Naka, Norifumi; Araki, Nobuhito (2009). "FDG-PET Evaluation of Chondromyxoid Fibroma of Left Ilium". Clinical Nuclear Medicine. 34 (1): 15–17. doi:10.1097/RLU.0b013e31818f464b. ISSN 0363-9762.
- ↑ Makis, William; Ciarallo, Anthony; Lisbona, Robert (2011). "Chondromyxoid fibroma of the rib mimics a chondrosarcoma on 18F-FDG PET/CT". Acta Radiologica. 52 (5): 554–556. doi:10.1258/ar.2011.100526. ISSN 0284-1851.
- ↑ Subhawong, Ty K.; Winn, Aaron; Shemesh, Shai S.; Pretell-Mazzini, Juan (2017). "F-18 FDG PET differentiation of benign from malignant chondroid neoplasms: a systematic review of the literature". Skeletal Radiology. 46 (9): 1233–1239. doi:10.1007/s00256-017-2685-7. ISSN 0364-2348.