Radiological appearance of cortical desmoid in a 14-year-old male patient: A case report

Radiol Case Rep. 2024 Nov 22;20(2):976-979. doi: 10.1016/j.radcr.2024.10.134. eCollection 2025 Feb.

Abstract

Cortical desmoid is an uncommon benign bony lesion that can typically be diagnosed through conventional radiographic methods. However, here we present an atypical case of a 14-year-old male who presented with a history of trauma, and the initial X-ray showed a right femur suspicious bony lesion. Still, the subsequent use of CT and MRI confirmed the diagnosis of cortical desmoid, so conservative management and follow-up imaging was recommended. This case highlights the importance of proper identification of this entity can prevent unnecessary biopsy and surgical intervention.

Keywords: Bone tumors; Cortical desmoid; Femoral cortical irregularity; Fibrous cortical defect; “Do not touch” lesions.

Publication types

  • Case Reports