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Metastases do not occur, as this is a benign process. At pathologic analysis, thickened and enlarged osseous trabeculae are noted, associated with fibrous tissue replacement of the marrow space.

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Satellite lesions are not uncommon with adamantinoma.

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The radiographic appearances of the two lesions can be very similar, although intracortical osteogenic sarcoma has a tendency to be less well-defined.

West Central Primary

The appearance consists of aggressive bone destruction. A school usually including the first three or four grades of elementary school and sometimes kindergarten.

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These fractures tend to occur in the middle to distal tibial diaphysis in long-distance runners, although more proximal involvement is seen in children and short-distance runners. Often, radiographs demonstrate thickened cortical bone without obvious bone destruction due to chronic periosteal stimulation and endosteal or periosteal bone deposition Fig Radiograph shows eccentric, mildly expansile, bubbly lesions within the proximal and distal tibial metadiaphyses. Metastases do not occur, as this is a benign process. Most commonly, osteochondroma manifests as a slowly expanding, hard, painless mass.

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