Pathology: osteoid osteoma

Osteoid osteoma

  • Fibrous-osseous neoplasm

  • Anastamosing trabeculae of woven bone with osteoblastic rimming

  • Polygonal cells with amphophilic cytoplasm; monomorphic ovoid nuclei with small nucleoli, minimal pleomorphism, and inconspicuous mitotic activity

  • Occasional thick-walled vessels; rare osteoclast-type multi-nucleated giant cells

Clinically painful with imaging showing a central lucency and oedema; treated by radiofrequency ablation