Osteomas are the most common primary tumors of the calvaria or skull. They are benign (non-cancerous), slow-growing tumors, that occur commonly in the cranial vault, mastoid and paranasal sinuses, and the mandible. These benign tumors are more common in females. Patient’s with Gardner’s syndrome may present with the common triad of multiple cranial osteomas (of calvaria, sinuses, and mandible), colonic polyposis, and soft tissue tumors. Osteomas appear similar histologically to osteoid osteomas and osteoblastoma’s. Their clinical presentation and distribution in the skeleton, however, are distinct: Osteoid osteomas are usually accompanied by nocturnal pain relieved by aspirin; osteoblastoma arises predominantly in the axial skeleton, spinal lesions constituting one third of reported cases.
Diagnosis of Osteoma
Osteomas may be diagnosed with a simple skull x-ray or CAT scan. An x-ray will show a well demarcated, homogenous dense projection. Osteomas are usually “hot” on nuclear bone scan.
Treatment of Osteoma
Asymptomatic osteomas may simply be followed. Surgery may be considered for cosmetic reasons, or if pressure on adjacent tissue (i.e., brain or scalp) becomes an issue. Lesions involving only the outer table of the skull may be removed leaving the inner table intact.
At Princeton Neurological Surgery, Dr. Lipani is a board certified fellowship trained neurosurgeon in New Jersey and specialist in the treatment for osteoma. Dr. Lipani treats patients from around the world as well as locally from Princeton, New Brunswick, Hopewell, Pennington and communities throughout Somerset, Middlesex, Ocean, Burlington, Monmouth and Mercer Counties for osteoma. Dr. Lipani offers image guided brain surgery approaches and the latest surgical techniques for osteoma treatment, tailored to the needs of each patient. For state-of-the-art osteoma treatment call or email us to schedule a consultation at our offices in Hamilton, New Jersey or Bridgewater, New Jersey!