Osteosarcomas, as opposed to bone island
, show aggressive growth, with cortical destruction, interrupted periosteal reaction, a soft tissue mass, and permeative growth within the bone marrow.
Radiography of the feet revealed soft-tissue syndactyly of the 2nd and 3rd toes bilaterally and a bone island
on the proximal phalanx of the big toe (Fig.
Extra points were awarded for begging and stylish entry into the water and my personal vote went to Captain "Bloody" Spike Pierce, leader of the local Bone Island
Buccaneers, who produced a fizzing bomb before being consigned to his watery fate.
Bone scan findings are usually normal in patients with OPK, but reveal slightly increased activity similar to the bone island
or enostosis that reflects active osseous remodelling that may be detected, especially in young patients with classic radiographic findings that are consistent with OPK.
The lesions are usually asymptomatic and incidentally found giving the appearance of 'multiple bone islands
' (Figure 16).