Case No. 28: Intraosseous Lipoma
X-Ray Hip Joint (AP view)
Report of Intraosseous Lipoma:
Hip joint AP view shows a geographic lesion with a faint rim of sclerosis and two foci of sclerosis in the femoral metaphysis. No fracture was seen.
15% of intraosseous lipomas occur in the femur.
Intertrochanteric region and femoral neck are common sites of involvement. Solitary osteolytic lesion surrounded by a thin, well-defined sclerotic border. Occasional central calcified or ossified nidus. Osseous expansion occurs infrequently. Cortical destruction and periostitis absent.