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Surgery All India exam 86a4b7c6

A red soft to firm swelling on sternum that on biopsy shows following histology. What is the diagnosis?

A
Hemangioma
B
Osteochondroma
C
Osteoid osteoma
D
Paget disease
High-Yield Explanation
Clinical presentation These tumours are slow growing and are generally asymptomatic unless they exe mass effect on sensitive structures. Occasionally they may present as a swelling or a palpable mass, especially in the skull. When large and strategically located they may present with a pathological fracture. If they are high-flow lesions, shunt-related symptoms may also be present. Pathology Primary intraosseous haemangiomas are slow growing vascular neoplasms, usually located in the medullary cavity. They are classified as benign, but rarely may be locally aggressive. Histology Histologically, intraosseous haemangiomas demonstrate hamaomatous vascular tissue within endothelium, but may also contain fat, smooth muscle, fibrous tissue, and thrombi REF : BAILEY AND LOVE 27TH ED

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