Tag Archive for: Cystic lesions

Tumour-like Lesions—- Are We Over Treating Them?

Vol 5 | Issue 1 | Jan-April 2019 | page: 3-8 | Dominic Puthoor, Dijoe Davis

Authors: Dominic Puthoor [1], Dijoe Davis [1].

[1] Department of Orthopedics, Amala Institute of Medical Sciences, Thrissur, Kerala, India.

Address of Correspondence
Dr. Dominic Puthoor,
Orthopedic Oncologist, Amala Institute of Medical Sciences, Thrissur, Kerala, India.
E-mail: dkputhur@gmail.com


Introduction: Tumour-like lesions of the bone is area frequently used term but has have not yet been clearly defined. There are no definite guidelines available for their management. The present study was aimed to evaluate the tumour-like lesions and their management.
Case Report: A total of 164 cases of tumour-like lesions managed by the senior author in a Cancer Institute during the past three decades were systematically analyzed. By and large non-aggressive and non-operative treatment was given in all conditions. Outcome of conservative management of tumour-like lesions was very encouraging on long-term follow-up .
Conclusions: Most of the cases with lesser interventions produced better results. They need to be treated only if they are symptomatic or likely to produce a pathological fracture. Even in such situations, one need not take a radical approach.
Keywords: Tumour-like lesions, Cystic lesions, Fibrous lesions.


1. Dominic KP, Dijoe D, Manathara LT. Tumour like lesions and their management: A retrospective study. Int J Res Orthop 2018;4:159-65.
2. Puthur DK. Tumour like lesions: Understand the difference. Kerala J Orthopaedics 2013;26:137-41.
3. Mohan H. Text Book of Pathology. 7th ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd.; 2015. p. 828.
4. Szendröi M, Sim FL. Color Atlas of Clinical Orthopedics. Berlin Heidelberg: Springer Verlag; 2009. p. 209-29.
5. Motamedi K, Seeger LL. Benign bone tumors. Radiol Clin North Am 2011;49:1115-34, 5.
6. Unni KK, Carrie Y. Inwards Dahlin’s Bone Tumors. Philadelphia, PA: Lippincott Williams and Wilkins; 2010. p. 305-47.
7. Wold LE, Unni KK. Atlas of Orthopedic Pathology. 3rd ed. Pennsylvania, PA: Saunders; 2008. p. 460-2
8. Puri A, Agarwal M. Current Concepts in Bone and Soft Tissue Tumors. ; 2007. p. 93-106.
9. Rastogi S, Varshney MK, Trikha V, Khan SA, Choudhury B, Safaya R, et al. Treatment of aneurysmal bone cysts with percutaneous sclerotherapy using polidocanol. A review of 72 cases with long-term follow-up. J Bone Joint Surg Br 2006;88:1212-6.
10. Varshney MK, Rastogi S, Khan SA, Trikha V. Is sclerotherapy better than intralesional excision for treating aneurysmal bone cysts? Clin Orthop Relat Res 2010;468:1649-59.
11. Balach T, Stacy GS, Peabody TD. The clinical evaluation of bone tumors. Radiol Clin North Am 2011;49:1079-93, 5.
12. Bhardwaj JR, Deb P. Boyd’s Text Book of Pathology.10th ed. Philadelphia, PA: Williams and Wilkins; 2013. p. 1676.
13. Christopher F, Bridge JA, Hogendoorn PC, Fredrik M. WHO Classification of Soft Tissue and Bone. 4th ed. ; 2013. p. 240- 1, 301.
14. Schajowicz F. Histological typing of bone tumours. World Health Organization; International histological classification of tumours. 2nd ed. World Health Organization; 1993. p. 36-42.
15. Cohen J. Etiology of simple bone cyst. J Bone Joint Surg Am 1970;52:1493-7.
16. Resnick D, Kransdorf MJ. Bone and Joint Imaging. 3rd ed. Philadelphia, PA: ???; 2005. p. 2408-593.
17. Vergel De Dios AM, Bond JR, Shives TC, McLeod RA, Unni KK. Aneurysmal bone cyst. A clinicopathologic study of 238 cases. Cancer 1992;69:2921-31.
18. McQueen MM, Chalmers J, Smith GD. Spontaneous healing of aneurysmal bone cysts. A report of two cases. J Bone Joint Surg Br 1985;67:310-2.
19. Donati D, Frisoni T, Dozza B, DeGroot H, Albisinni U, Giannini S, et al. Advance in the treatment of aneurysmal bone cyst of the sacrum. Skeletal Radiol 2011;40:1461-6.
20. Dicprio M, Enneking W. Current concept review of fibrous dyplasia pathophysiology evolution and treatment. J Bone Joint Surg 2005;87:1848-63.
21. Meredith DS, Healey JH. Twenty-year follow-up of monostotic fibrous dysplasia of the second cervical vertebra a case report and review of the literature. Investigation performed at memorial Sloan-Kettering cancer center. Bone Joint Surg Am 2011;93:e74.
22. Kim SH, Smith SE, Mulligan ME. Hematopoietic tumors and metastases involving bone. Radiol Clin North Am 2011;49:1163-83, 6.
23. Available from: http://www.bonetumor.org.
24. Gasbarrini A, Cappuccio M, Donthineni R, Bandiera S. Management of benign tomors of the mobile spine. Orthoped Clin North Am 2009;40:1-178.
25. Han I, Suh ES, Lee SH, Cho HS, Oh JH, Kim HS, et al. Management of eosinophilic granuloma occurring in the appendicular skeleton in children. Clin Orthop Surg 2009;1:63-7.
26. Mirels H. Metastatic disease in long bones. A proposed scoring system for diagnosing impending pathologic fractures. Clin Orthop Relat Res 1989;249:256-64.

How to Cite this article: Puthoor D, Davis D. Tumour-like Lesions—- Are We Over Ttreating Them?. Journal of Bone and Soft Tissue Tumors Jan-Apr 2019;5(1): 3-8.

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