Radiological appearance of cortical desmoid in a 14-year-old male patient: A case report

Abstract

Cortical desmoid is an uncommon benign bony lesion that can typically be diagnosed through conventional radiographic methods. However, here we present an atypical case of a 14-year-old male who presented with a history of trauma, and the initial X-ray showed a right femur suspicious bony lesion. Still, the subsequent use of CT and MRI confirmed the diagnosis of cortical desmoid, so conservative management and follow-up imaging was recommended. This case highlights the importance of proper identification of this entity can prevent unnecessary biopsy and surgical intervention.

Keywords

• Cortical desmoid
• Bone tumors
• “Do not touch” lesions
• Femoral cortical irregularity
• Fibrous cortical defect