A rare diagnostic imaging and clinical implications of expansile lytic lesion in the distal femur of a 41-year-old female
Pradhyum Dilip Kolhe, Pratik Phansopkar
Corresponding author: Pradhyum Dilip Kolhe, Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research (DU) Sawangi Meghe, Maharashtra, India 
Received: 26 Nov 2024 - Accepted: 06 Dec 2024 - Published: 02 Jan 2025
Domain: Orthopedic surgery,Surgical oncology
Keywords: Giant bone tumour, oncology, lytic lesion
©Pradhyum Dilip Kolhe et al. Pan African Medical Journal (ISSN: 1937-8688). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Pradhyum Dilip Kolhe et al. A rare diagnostic imaging and clinical implications of expansile lytic lesion in the distal femur of a 41-year-old female. Pan African Medical Journal. 2025;50:4. [doi: 10.11604/pamj.2025.50.4.46027]
Available online at: https://www.panafrican-med-journal.com//content/article/50/4/full
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A rare diagnostic imaging and clinical implications of expansile lytic lesion in the distal femur of a 41-year-old female
A rare diagnostic imaging and clinical implications of expansile lytic lesion in the distal femur of a 41-year-old female
Pradhyum Dilip Kolhe1,&, 
Pratik Phansopkar1
&Corresponding author
An expansile lytic lesion is a type of bone lesion that may arise from numerous benign or malignant conditions, leading to the destruction of bone tissue. Bone tumors are predominantly benign. Certain bone tumors, like aneurysmal bone cysts and giant cell tumors, are more common in females, but this doesn't significantly affect their diagnosis and treatment. Aneurysmal bone cysts, classified into primary and secondary types, are expansile lytic lesions with multiple fluid levels, often accompanied by pain and associated with underlying conditions. Epiphyseal lesion in unfused physis usually signifies chondroblastoma, while a lesion in fused physis is more likely to be a giant cell tumor.
Figure 1: A, B) X-ray shows expansile lytic lesion at the distal femur
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