Pathology: myositis ossificans

Myositis ossificans

  • Spindle-stellate cells with fascicular-storiform pattern

  • Abundant pale amphophilic cytoplasm

  • Round-ovoid nuclei with prominent small nucleoli; occasional mitotic activity

  • Interspersed "ganglion-like" epithelioid cells; abundant amphophilic cytoplasm; eccentric round-ovoid nuclei with prominent nucleoli and occasional bi-nucleation

  • Incomplete rim of metaplastic bone; mild chronic inflammatory infiltrate

Myositis ossificans

  • Spindle-stellate cells with vague fascicular pattern

  • Abundant pale amphophilic cytoplasm

  • Round-ovoid nuclei with prominent small nucleoli; occasional mitotic activity

  • Myxoid-collagenous stroma; seams of osteoid with varialble mineralization; scattered osteoclast-like giant cells

  • RNA-seq: COL1A1::USP6 gene fusion