Skip to content

Nonossifying fibroma

  • Spontaneously regresses
  • AKA "fibrous cortical defect"
    • Though some will call fibrous cortical defect as <2 and NOF as >2 cm
  • Do not touch lesion
  • Classic appearance is thin, sclerotic border that is scalloped and slightly expansile
  • They routine "heal" with sclerosis and disappear
  • Don't mistake "cortical disruption" for simply cortex being replaced with benign fibrous tissue
  • Can look hot on PET during "healing" phase d/t osteoblast activity
Discriminators
  • Must be under age 30
  • No periostitis for pain