Chondroblastoma of the acromion mimicking fibrous dysplasia
Published online: Dec 27 2004
Carsten GEBERT, Jendrik HARDES, Arne STREITBÜRGER, Volker VIETH, Horst BÜRGER,
Winfried WINKELMANN, Georg GOSHEGER
From the University Hospital, Westfalian Wilhelms University, Münster, Germany
Abstract
The authors report the case of a 65-year-old man
who presented with an expansive osteolytic lesion in
the right acromion, mimicking cystic fibrous dysplasia.
Magnetic resonance imaging showed a lesion
with intermediate-signal intensity on T1-weighted
images and a high-signal intensity on fat suppressed
T2-weighted images. The biopsy led to the diagnosis
of chondroblastoma. This tumour is rare in flat
bones, and may mimic other benign or malignant
lesions. It is therefore essential to perform a biopsy in
order to obtain a definite diagnosis. The acromion
was excised, and replaced with an iliac crest graft.