Osteoblastoma of the mandible mimicking osteosarcoma in FDG PET/CT imaging

Clin Nucl Med. 2013 Feb;38(2):143-4. doi: 10.1097/RLU.0b013e318279f131.

Abstract

Osteoblastomas are rare tumors accounting for approximately 1% of all primary bone tumors. We report a case of osteoblastoma of the mandible with high FDG uptake. Initially, this lesion was judged as an osteosarcoma. Osteoblastomas are benign slow-growing tumors. High-resolution thin-slice CT images of the lesion as part of the PET/CT study help to characterize its morphology and extension, thus facilitating biopsy planning and resection. Approximately 25% of osteoblastomas initially have the imaging appearance of a malignant tumor. In our case, complete resection of the lesion followed by reconstruction with a bone graft was performed.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diagnosis, Differential
  • Female
  • Fluorodeoxyglucose F18*
  • Humans
  • Mandible / diagnostic imaging*
  • Mandible / pathology
  • Mandibular Neoplasms / diagnostic imaging*
  • Mandibular Neoplasms / pathology
  • Multimodal Imaging*
  • Osteoblastoma / diagnostic imaging*
  • Osteoblastoma / pathology
  • Osteosarcoma / diagnostic imaging*
  • Osteosarcoma / pathology
  • Positron-Emission Tomography*
  • Tomography, X-Ray Computed*

Substances

  • Fluorodeoxyglucose F18