A 6½-year-old boy had a benign osteoblastic lesion in the neck of the right scapula. The differential diagnosis of lytic scapular tumors in children rarely includes benign osteoblastoma and osteoid osteoma. A clear distinction cannot always be made between a large osteoid osteoma and a benign osteoblastoma. The presence of a sclerotic rim on roentgenographic examination of this patient favors the diagnosis of an osteoid osteoma while a size of more than 1 cm suggests a benign osteoblastoma. We emphasize that benign osteoblastoma and osteoid osteoma should be considered as part of the differential diagnosis of lytic scapular tumors in children.
Freedman S, Taber P, Alter A. Benign Osteoblastic Lesion in the Scapula of a Child. Am J Dis Child. 1972;123(3):236-237. doi:10.1001/archpedi.1972.02110090106015