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NJBMS - Volume 5, Issue 3, January - March 2015

Pages: 102-104
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MULTIFOCAL OSTEOID OSTEOMA OF THE MIDSHAFT OF FEMUR– A CASE REPORT

Author: BHARAT JAIN, D. ANNAPPASWAMY, SHAHID YAKOOB, B. JOY AGNEES, R.M. SIDHESH

Category: Clinical Sciences

Abstract:

Multifocal osteoid osteoma is a very rare entity occuring predominantly in males between the ages of 10 and 25 years. To evaluate the radiograph demonstrated (two) lytic lesions with surrounding sclerosis along the posterior cortex of the right femur with computed tomography (CT) scan. We report a 21-year-old man who presented with pain in the right leg since 11 months, which were partially relieved by over-the-counter analgesics. CT scan demonstrated two lytic lesions with surrounding sclerosis along the posterior cortex of the right femur. This case report reviews CT features taken with the help of SIEMENS SOMATOM 16 slice CT machine. A detailed history with a high index of suspicion can lead to a prompt diagnosis. CT scans confirmed the diagnosis of multifocal osteoid osteoma showing the multiple nidus and surrounding osteosclerosis. Adequate surgical excision of the nidus can be curative and may give rise to a complete remission of symptoms without recurrence.

Keywords: Midshaft of femur, Multifocal, Nidus, Osteoid osteoma, Sclerosis