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Epiphyseal lesions (differential)

Dr Yair Glick ◉ and Dr Suresh V Reddy et al.

Epiphyseal lesions comprise tumors and other pathologies that occur around the epiphysis and any epiphyseal equivalent bone.

Differential diagnosis

Common differential diagnoses include ^2-4:

chondroblastoma: rare epiphyseal tumor found in young adults; it usually does not extend into the metaphysis, and usually does not extend beyond the bone
giant cell tumor (GCT): occurs in adolescents in whom the epiphyseal growth plates have closed; it can extend to involve the adjacent metaphysis
geode/intraosseous ganglion
osteomyelitis
clear cell chondrosarcoma
others that occur rarely
- osteosarcoma and osteoblastoma
- aneurysmal bone cyst (ABC): usually metaphyseal, but if it occurs after the growth plate is obliterated, it may extend into the epiphysis
- brown tumor
- haemophilic pseudotumor
- enchondroma

References

Bone tumours

The differential diagnosis for bone tumors is dependent on the age of the patient, with a very different set of differentials for the pediatric patient.

bone tumors
- bone-forming tumors
- cartilage-forming tumors
- fibrous bone lesions
- bone marrow tumors
- other bone tumors or tumor-like lesions
- skeletal metastases
  - morphology
  - location
  - impending fracture risk
    - Harrington criteria
    - Mirel classification
- staging
  - AJCC staging of musculoskeletal tumors
  - Enneking surgical staging system

Article information

rID: 6536

System: Musculoskeletal

Section: Gamuts

Tag: cases

Synonyms or Alternate Spellings:

Epiphyseal tumours
Epiphyseal tumours and tumourlike lesions

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Cases and figures

Case 1: giant cell tumorCase 1: giant cell tumor

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Case 2: chondroblastoma of distal femurCase 2: chondroblastoma of distal femur

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