• World Neurosurg · Feb 2019

    Review Case Reports

    Bullough's lesion: an unexpected diagnosis after the resection of a slowly growing osseous-like retroauricular bump. Case report and review of the literature.

    • Cosimo Sturdà, Alessandro Rapisarda, Marco Gessi, Vito Stifano, Angelo Pompucci, Carmelo Anile, and Gianluca Trevisi.
    • Institute of Neurosurgery, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
    • World Neurosurg. 2019 Feb 1; 122: 372-375.

    AbstractWe describe the case of a 33-year-old woman with a history of over 15 years of a slow growing firm osseous-like right retroauricular mass. Surgical resection was easily performed using a sharp technique, because of a clear cleavage plane. The histologic diagnosis was a rare, unexpected, protuberant fibro-osseous lesion named "Bullough lesion." Only few cases of this benign pathologic entity have been described in English literature. Clinical differential diagnosis must be done with osteoma, periosteal chondroma, and other fibro-osseous lesions such as fibrodysplasia and ossifying fibroma. Because of the paucity of data, the natural history of this lesion is unknown and serial clinical and radiological follow-up is advised.Copyright © 2018 Elsevier Inc. All rights reserved.

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