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Unusual osteolytic midline lesion of the skull: benign osteoblastoma of the parietal bone.

The authors report the case of a 5-year-old girl who presented with a parietal midline sub-scalp lesion. Skull radiographs demonstrated a lytic lesion surrounded by a sclerotic rim that resembled a dermoid cyst of the cranium. Histopathological analysis proved that the lesion was a benign osteoblastoma. As in other calvarial masses of uncertain nature, after diagnostic workup, we recommend surgical excision both for diagnosis and for treatment.

Child, Preschool↗

Benign osteoblastoma of the parietal bone.

A 5-year-old girl presented with a 1-year history of a subcutaneous swelling in the right parietal region. There were no cerebral symptoms or signs. Plain X-ray of the skull showed a lytic bony lesion with sclerotic margin. Computed tomography showed a hypodense, osteolytic lesion with thinned and bulged inner and outer skull tables with intact continuity. There was no intracranial lesion. At operation, the mass was found to be pink and granular, and was totally enucleated. Histology revealed it to be a benign osteoblastoma.

Child, Preschool↗