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British Journal of Radiology (2008) 81, e31-e34
© 2008 British Institute of Radiology
doi: 10.1259/bjr/19620568

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Case report

A rare spontaneous osteosarcoma of the calvarium in a patient with long-standing fibrous dysplasia: CT and MR findings

C REIS, MD 1 E M GENDEN, MD 2 J B BEDERSON, MD 3 and P M SOM, MD 4

1 Department of Neuroradiology, S. João University Hospital, Porto, Portugal, and the Departments of 2 Otolaryngology, 3 Neurosurgery and 4 Radiology, Mount Sinai School of Medicine, New York University, New York, USA

Correspondence: Dr Carina Reis, Alameda Prof. Hernani Monteiro, Porto, 4204-451 Porto, Portugal. E-mail: reis_carina{at}yahoo.com

A 52-year-old man with long-standing craniofacial polyostotic fibrous dysplasia (FD) and no history of prior radiation therapy developed a spontaneous right temporal bone osteosarcoma. Such spontaneous sarcomatous degeneration of FD is rare, particularly in the calvarium/skull, where, to our knowledge, only six prior cases have been reported in the literature. We report this case because it is a rare entity with well-documented CT and MR images, and to emphasize the importance of depicting imaging features of sarcomatous degeneration among the complex imaging findings of FD.







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