{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T18:38:45Z","timestamp":1791398325673,"version":"4.3.3"},"reference-count":82,"publisher":"Archives of Pathology and Laboratory Medicine","issue":"10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2009,10]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>Context.<\/jats:italic>\n                    \u2014Osteomas are limited almost exclusively to craniofacial and jaw bones. Histologically, they can be divided into ivory, mature, or mixed types. Osteomas may have osteoblastoma-like areas and distinguishing it from true osteoblastoma can be challenging. Some believe osteomas with osteoblastoma-like features behave more aggressively.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Objective.<\/jats:italic>\n                    \u2014To perform a clinicopathologic comparison of sino-orbital osteomas both with and without osteoblastoma-like features.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Design.<\/jats:italic>\n                    \u2014We studied 45 surgically excised sino-orbital osteomas. Tumors were categorized as ivory, mature, or mixed type and presence of osteoblastoma-like areas and Paget-like bone were noted. Clinical features of those with and without osteoblastoma-like areas were compared.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results.<\/jats:italic>\n                    \u2014Men outnumbered women (3:2); median age was 37 years. Frontal sinus was the most common location (62%) followed by ethmoid and maxillary sinuses. Twelve tumors (27%) involved the orbit, 2 primarily and 10 secondarily. All cases were symptomatic with headache, sinusitis, visual changes, pain, and proptosis being most common. Seventeen tumors (38%) had osteoblastoma-like areas. Extension into an adjacent sinus\/anatomic compartment was more common in osteoblastoma-like tumors (47% versus 29%), including more frequent orbital involvement (41% versus 13%). Visual changes were more frequent in the osteoblastoma-like group. Distribution of histologic subtypes and Paget-like bone were similar between the 2 groups. Osteomas with osteoblastoma-like features were more often incompletely excised (25% versus 14%). However, clinical recurrence was less common (8% versus 27%).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusions.<\/jats:italic>\n                    \u2014Osteoblastoma-like features are common in sino-orbital osteomas, but it does not correlate with more adverse clinical features or worse outcome. Osteoblastoma-like areas appear to represent active remodeling within an osteoma rather than defining a distinct clinicopathologic entity. Distinguishing it from osteoblastoma may require careful histologic evaluation and radiographic correlation.\n                  <\/jats:p>","DOI":"10.5858\/133.10.1587","type":"journal-article","created":{"date-parts":[[2021,2,12]],"date-time":"2021-02-12T08:10:02Z","timestamp":1613117402000},"page":"1587-1593","source":"Crossref","is-referenced-by-count":81,"title":["Sino-Orbital Osteoma: A Clinicopathologic Study of 45 Surgically Treated Cases With Emphasis on Tumors With Osteoblastoma-like Features"],"prefix":"10.5858","volume":"133","author":[{"given":"Jonathan B.","family":"McHugh","sequence":"first","affiliation":[{"name":"From the Departments of Pathology (Drs McHugh and Lucas) and Radiology (Dr Mukherji), University of Michigan Health System, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suresh K.","family":"Mukherji","sequence":"additional","affiliation":[{"name":"From the Departments of Pathology (Drs McHugh and Lucas) and Radiology (Dr Mukherji), University of Michigan Health System, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Lucas","sequence":"additional","affiliation":[{"name":"From the Departments of Pathology (Drs McHugh and Lucas) and Radiology (Dr Mukherji), University of Michigan Health System, Ann Arbor"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3906","reference":[{"key":"i1543-2165-133-10-1587-b1","series-title":"Otolaryngol Clin North Am","first-page":"585","article-title":"Common fibro-osseous lesions of the paranasal sinuses.","volume":"39","author":"Eller, R.","year":"2006","unstructured":"Eller, R. and M.Sillers. 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Non-epithelial tumors of the nasal cavity, paranasal sinuses, and nasopharynx: a clinicopathologic study: II. Osseous and fibro-osseous lesions, including osteoma, fibrous dysplasia, ossifying fibroma, osteoblastoma, giant cell tumor, and osteosarcoma.Cancer1974. 33:1289\u20131305."},{"key":"i1543-2165-133-10-1587-b3","article-title":"Bone Tumors.","author":"Dorfman, H. D.","unstructured":"Dorfman, H. D. and B.Czerniak. Bone Tumors.St Louis, MO: The CV Mosby Co; 1998:ix, 1261."},{"key":"i1543-2165-133-10-1587-b4","series-title":"Clin Otolaryngol Allied Sci","first-page":"397","article-title":"Indications for the surgical treatment of osteomas of the frontal and ethmoid sinuses.","volume":"15","author":"Savic, D. L.","year":"1990","unstructured":"Savic, D. L. and D. R.Djeric. Indications for the surgical treatment of osteomas of the frontal and ethmoid sinuses.Clin Otolaryngol Allied Sci1990. 15:397\u2013404."},{"key":"i1543-2165-133-10-1587-b5","series-title":"Skeletal Radiol","first-page":"417","article-title":"Paranasal sinus osteomas: a review of 46 cases.","volume":"22","author":"Earwaker, J.","year":"1993","unstructured":"Earwaker, J.\n          \n          Paranasal sinus osteomas: a review of 46 cases.\n          Skeletal Radiol\n          1993. 22:417\u2013423."},{"key":"i1543-2165-133-10-1587-b6","series-title":"Clin Otolaryngol Allied Sci","first-page":"111","article-title":"The growth rate of osteomas of the paranasal sinuses.","volume":"22","author":"Koivunen, P.","year":"1997","unstructured":"Koivunen, P., H.Lopponen, A. P.Fors, and K.Jokinen. 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A.Bridge, L. G.Kindblom, and L. E.Wold. Tumors of the Bone and Joints.Silver Spring, MD: American Registry of Pathology; 2005:399. Atlas of Tumor Pathology; 4th series, fascicle 2."},{"key":"i1543-2165-133-10-1587-b10","series-title":"Postgrad Med","first-page":"277","article-title":"Ivory exostosis of the skull.","volume":"41","author":"Bullough, P. G.","year":"1965","unstructured":"Bullough, P. G.\n          \n          Ivory exostosis of the skull.\n          Postgrad Med\n          1965. 41:277\u2013281."},{"key":"i1543-2165-133-10-1587-b11","series-title":"J Laryngol Otol","first-page":"291","article-title":"Osteomas of the paranasal sinuses.","volume":"95","author":"Atallah, N.","year":"1981","unstructured":"Atallah, N. and M. M.Jay. 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