Fibrous dysplasia
- Can look like almost anything
- Should not be a painful lesion unless fracture
- Ribs commonly involved
- Typically lytic expansile lesion in posterior ribs and sclerotic process in anterior ribs
- Pelvic involvement very commonly accompanied by femoral involvement
- But not vice versa (ie. femoral lesions can be isolated)
- If a tibial lesion is present that looks like fibrous dysplasia, have [[Adamantinoma|adamantinoma]] on the differential
Discriminator
- Fibrous dysplasia will not have periostial reaction