Abstract
Several lesions have clinical and radiological characteristics mimicking muscular skeletal tumor. Myositis ossificans usually presents a typical pattern making biopsy unnecessary; nevertheless, in rare cases, neoplasm must be ruled out. Biopsy is often sufficient to allow a diagnosis and a correct related treatment, but, unfortunately, sometimes it may lead to erroneous treatment. We report an unusual case of a lumbar paravertebral mass that had an MRI aspect similar to a chondrosarcoma, a histology pattern based on biopsy compatible with neurinoma and a definitive diagnosis of myosistis ossificans.
References
Dantonello TM, Int-Veen C, Leuschner I, Schuck A, Furtwaengler R, Claviez A, Schneider DT, Klingebiel T, Bielack SS, Koscielniak E, CWS study group, COSS study group (2008) Mesenchymal chondrosarcoma of soft tissues and bone in children, adolescents, and young adults: experiences of the CWS and COSS study groups. Cancer 112(11):2424–2431
Perouli E, Chrysikopoulos H, Vlachos A, Koskinas A, Batistatou A, Polyzoidis K (2006) Imaging findings in paraspinal extra osseous Ewing sarcoma. JBR-BTR 89(6):310–312
Treu EB, de Slegte RG, Golding RP, Sperber M, van Zanten TE, Valk J (1986) CT findings in paravertebral synovial sarcoma. J Comput Assist Tomogr 10(3):460–462
Rougraff BT, Aboulafia A, Biermann JS, Healey J (2009) Biopsy of soft tissue masses: evidence-based medicine for the musculoskeletal tumor society. Clin Orthop Relat Res 467(11):2783–2791
Campanacci M (1999) Pseudotumoral soft tissue and periosteal ossifications. In: Bone and soft tissue tumors, 2nd edn. Springer, New York, pp 1265–1279
Alouini-Mekki R, El Mhabrech H, Hasni I, Allani M, Jemni H, Gamaoun W, M’hamed B, Mseddi M, Tlili-Graiess K (2007) Myositis ossificans circumscripta: the contribution of imaging. J Radiol 88(5 Pt 1):663–668
Conflict of interest
The authors declare that they have no conflict of interest related to the publication of this manuscript.
Author information
Authors and Affiliations
Consortia
Corresponding author
Rights and permissions
About this article
Cite this article
Zoccali, C., Chichierchia, G., Covello, R. et al. An unusual case of lumbar paravertebral miositis ossificans mimicking muscular skeletal tumor. Musculoskelet Surg 97, 251–253 (2013). https://doi.org/10.1007/s12306-011-0169-9
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12306-011-0169-9