BMJ Case Reports 2018; doi:10.1136/bcr-2018-224487
  • Images in…

Paediatric osteofibrous dysplasia-like adamantinoma with classical radiological findings

  1. Srikrishna Harave4
  1. 1School of Medicine, University of Liverpool, Liverpool, UK
  2. 2Department of Trauma and Orthopaedics, Alder Hey NHS Foundation Trust, Liverpool, UK
  3. 3Department of Musculoskeletal Pathology, The Royal Orthopaedic Hospital, Birmingham, UK
  4. 4Department of Radiology, Alder Hey NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Mr Meraj Ondhia, m.ondhia{at}
  • Accepted 2 May 2018
  • Published 15 May 2018


A 16-year-old girl presented with a 1-month history of a painful lump on the right tibia. There was no history of trauma; she had no medical conditions and was physically active. On examination, she had a diffuse bony lump in the middle third of the right tibia with some localised tenderness. There was no neurovascular deficit and no bony masses were present elsewhere.

Plain radiograph of the right leg (figure 1) showed a well-circumscribed, slightly expansile, mixed sclerotic and lytic lesion of the anterior diaphysis of the right tibia. The sclerosis and lysis were seen as a multilocular ‘soap bubble’ appearance. No aggressive features including periosteal reaction or soft-tissue abnormality were present. A subsequent MRI scan confirmed the presence of an extensive lesion involving the anterior cortex of the midshaft of the right tibia, extending a vertical distance of 20 cm. The lesion appeared confined to the cortical bone, …

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