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      Parietal bone osteoid osteoma: A rare cause of button sequestrum sign in pediatrics. Case report and review of literature

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          Abstract

          The current study evaluates a rare case of parietal bone osteoid osteoma in pediatrics and review the differential diagnosis of button sequestrum sign in the literature. A 12‐year‐old girl expressed localized pain in the right parietal bone. MRI represented enhancing nodule with button sequestrum sign appearance.

          Abstract

          Due to the rarity of condition in children, osteoid osteoma should be considered as a differential diagnosis of button sequestrum sign in magnetic resonance imaging in children.

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          Most cited references11

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          Osteoid osteoma: MR imaging versus CT.

          To compare the performance of computed tomography (CT) and magnetic resonance (MR) imaging in diagnosis of osteoid osteoma. Nineteen patients with histologically proved osteoid osteoma underwent CT and MR imaging before excision of the lesion. CT and MR images were compared regarding lesion conspicuity and detection of marrow, soft-tissue, and/or synovial changes adjacent to the primary lesion. CT was more accurate than MR imaging in detection of the osteoid osteoma nidus in 63% of cases. MR imaging was better than CT in showing intramedullary and soft-tissue changes in all cases. This may produce a misleading aggressive appearance on MR images. There was a statistically significant correlation between presence or absence of marrow or soft-tissue changes and treatment with antiinflammatory medications (P < .05). CT remains the best imaging modality for diagnosis of osteoid osteoma. MR images should not be interpreted without reference to plain radiographs and CT scans if serious errors in diagnosis are to be avoided.
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            Benign tumours of the bone: A review☆

            Benign tumours of the bone are not cancerous and would not metastasise to other regions of the body. However, they can occur in any part of the skeleton, and can still be dangerous as they may grow and compress healthy bone tissue. There are several types of benign tumours that can be classified by the type of matrix that the tumour cells produce; such as bone, cartilage, fibrous tissue, fat or blood vessel. Overall, 8 different types can be distinguished: osteochondroma, osteoma, osteoid osteoma, osteoblastoma, giant cell tumour, aneurysmal bone cyst, fibrous dysplasia and enchondroma. The incidence of benign bone tumours varies depending on the type. However, they most commonly arise in people less than 30 years old, often triggered by the hormones that stimulate normal growth. The most common type is osteochondroma. This review discusses the different types of common benign tumours of the bone based on information accumulated from published literature.
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              Osteoid osteoma: 95 cases and a review of the literature.

              Osteoid osteoma is a benign bone tumor occurring primarily in patients under the age of 30 yr. Bone pain at night and relief by aspirin or other nonsteroidal antiinflammatory agents is a common symptom complex. The proximal femur and spine are frequent sites of involvement, but almost any bone can be involved. If plain roentgenograms do not demonstrate the lesion, tomography or a bone scan may be helpful. Complete surgical excision is the therapy of choice with a low recurrence rate. Osteoid osteoma may present initially with symptoms suggestive of inflammatory arthritis, degenerative joint disease, neoplasm, or infection. This lesion can therefore be a difficult diagnostic problem, especially if routine roentgenograms are normal. A high index of suspicion is necessary to make the diagnosis.
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                Author and article information

                Contributors
                hashemin1984@gmail.com
                Journal
                Clin Case Rep
                Clin Case Rep
                10.1002/(ISSN)2050-0904
                CCR3
                Clinical Case Reports
                John Wiley and Sons Inc. (Hoboken )
                2050-0904
                11 October 2022
                October 2022
                : 10
                : 10 ( doiID: 10.1002/ccr3.v10.10 )
                : e6416
                Affiliations
                [ 1 ] Endoscopic and Minimally Invasive Surgery Research Center Mashhad University of Medical Sciences Mashhad Iran
                [ 2 ] Department of Radiology School of Medicine Mashhad University of Medical Sciences Mashhad Iran
                [ 3 ] Department of Neurosurgery School of Medicine Mashhad University of Medical Sciences Mashhad Iran
                [ 4 ] Department of Pediatrics School of Medicine Mashhad University of Medical Sciences Mashhad Iran
                [ 5 ] Department of Pathology School of Medicine Mashhad University of Medical Sciences Mashhad Iran
                Author notes
                [*] [* ] Correspondence

                Narges Hashemi, Department of Pediatrics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

                Email: hashemin1984@ 123456gmail.com

                Author information
                https://orcid.org/0000-0002-8989-974X
                Article
                CCR36416 CCR3-2022-04-0808.R1
                10.1002/ccr3.6416
                9552986
                36245461
                1d545d09-ffe1-45a5-b7d1-0e8a80d54ade
                © 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 09 August 2022
                : 15 April 2022
                : 20 September 2022
                Page count
                Figures: 8, Tables: 1, Pages: 5, Words: 1423
                Categories
                Case Report
                Case Report
                Custom metadata
                2.0
                October 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.2.0 mode:remove_FC converted:11.10.2022

                button sequestrum sign,osteoid osteoma,parietal bone,pediatrics

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