A benign bone-forming tumour (osteoma) on the skull of a fossil balaenopterid whale from the Pliocene of Chile

Hampe, O., Witzmann, F. & Asbach, P., 2014. A benign bone-forming tumour (osteoma) on the skull of a fossil balaenopterid whale from the Pliocene of Chile. Alcheringa 38, xxx–xxx. ISSN 0311–5518.

A pathology of the fossil baleen whale ‘Megaptera’ hubachi from the early Pliocene of Chile is described. It is a bony outgrowth on the left side of the supraoccipital, which is interpreted as a benign bone-forming tumour (osteoma). This diagnosis is based on X-ray imaging and CT scans of the abnormal bone, revealing a homogeneously dense internal structure with no evidence for lytic areas. The osteoma described here in ‘Megaptera’ hubachi is the first unequivocal evidence of a bone tumour in a cetacean, fossil or extant.

Oliver Hampe [oliver.hampe@mfn-berlin.de] and Florian Witzmann [florian.witzmann@mfn-berlin.de], Museum für Naturkunde, Leibniz-Institut für Evolutions- und Biodiversitätsforschung, Invalidenstraße 43, D-10115 Berlin, Germany; Patrick Asbach [patrick.asbach@charite.de], Institut für Radiologie, Charité—Universitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin, Germany. Received 28.8.2013, revised 7.11.2013, accepted 12.11.2013.     

Metastatic carcinoma: palaeopathology and differential diagnosis

A 62 year‐old contemporary white female diagnosed with metastatic carcinoma of the breast was examined after skeletonisation. She never received chemical, hormonal or radiation therapy. Because of the confirmed clinical diagnosis, lack of medicinal intervention, and quality of bone preservation, this specimen provides a comparative standard for metastatic carcinoma and differential diagnosis of idiopathic dry bone pathology. We detail gross and radiographic bone response to this disease and differentially diagnose the skeleton against Langerhans cell histiocytosis and multiple myeloma, conditions capable of modifying bone in characteristic patterns that may mimic metastatic carcinoma. Copyright © 2006 John Wiley & Sons, Ltd.     

Legg–Calvé–Perthes Disease and unifocal eosinophilic granuloma in a visigoth from the Duratón necropolis (Segovia,Spain)

Individual number 12, exhumed at the Duratón Visigoth necropolis (Segovia, Spain), was found in a supine position inside a simple fossa without adornments. He was a very robust adult (∼50/60 years) male presenting two pathologies, independently originated and both occurring in a particular anatomical area: the right hip. The first one has been diagnosed as Legg–Calvé–Perthes Disease, and it affects the right femur and the coxal. The femoral head has a diameter that is much greater than usual, with a porous articular surface, no fovea capitis and a marked arthritic secondary growth which is inserted in the femoral neck; the coxal shows a pathological acetabulum larger than the left one, and having osseous borders. The second disease, considered a unifocal eosinophilic granuloma, is in the inner face of the right ilium, and practically occupies the whole iliac fossa. The development of the two pathologies and their probable repercussions on the individual's mobility, on the basis of the study of both the pathological and normal pieces recovered, are discussed. Copyright © 2010 John Wiley & Sons, Ltd.     

Benign mandibular tumours: Two case studies from the Maya lowland site of Tikal,Guatemala

This study presents a differential diagnosis of benign mandibular tumours identified in two adult burials from the precontact Maya city of Tikal, Guatemala. Both individuals were recovered from domestic structures that date to the Late Classic Period (AD 550–850). The osseous growths were interpreted as probable benign tumours based on evidence of localised growth, a circumscribed border, a dense texture and a lack of osteolytic activity or spiculate bone formation. Burial PTP‐026A is a middle adult (35–50 years) of indeterminate sex with evidence of a small dense, circular mass extending laterally from the right mandibular corpus. Macroscopic and radiographic assessment of this lesion provided a diagnosis of osteoma, a true neoplasm, or alternately, hyperplasia (e.g. exostosis) or hamartoma, which are not true neoplasms. Burial PTP‐017 is a probable young adult female (20–35 years) with a large osteoblastic lesion on the right anterior mandibular corpus. This dense, bony mass extends from the anterior margin of the mental canal, and shows a distinct boundary from the adjacent trabecular and cortical bone. The growth of the osseous mass displaced the right first premolar anteriorly. Radiographic assessment showed the presence of dense, radiopaque material, indicating significant calcification. This suggested a likely fibro‐osseous origin for this lesion, with a probable diagnosis of ossifying fibroma, or possibly osseous dysplasia. Although not definitive, our differential diagnosis was able to exclude a number of neoplastic and non‐neoplastic conditions that affect the jaws. This study provides the first reported cases of possible benign mandibular tumours in the ancient Maya. Copyright © 2009 John Wiley & Sons, Ltd.     

A Probable Case of Acute Childhood Leukemia: Skeletal Involvement,Differential Diagnosis,and the Bioarchaeology of Cancer in South America

Cancer involves a complex spectrum of disease conditions. However, cancer has received relatively limited attention in paleopathology and bioarchaeology as it is infrequently encountered in the skeletal record, and its differential diagnosis in dry bone remains challenging. Of all neoplastic disorders, one of the most infrequently described forms in ancient skeletons is leukemia, or the myeloproliferative neoplasms of the reticuloendothelial system affecting bone marrow and blood. This case study describes and interprets a suite of lytic and proliferative lesions in the skeletal remains of an Early/Middle Colonial‐era child (ca. A.D. 1533–1620) excavated at the ruins of Eten, southwestern Lambayeque Valley Complex (north coast of Peru). A secondary burial contained the incomplete postcranial remains of a 5–6 year‐old child whose bones were characterized by abnormal porous loci in the right clavicle, scapulae, long bones of the upper limb, ribs, and thoracic and lumbar vertebrae. Additionally, fine areas of new bone formation were present on the clavicle and ribs. Multiple pathological conditions were evaluated in a differential diagnosis, including taphonomic changes and various bone resorbing and forming disorders. The lesions are most consistent with acute childhood leukemia and represent the first of its kind described in Andean South America. The identification of this condition helps focus research questions involving the bioarchaeology of cancer in the Andes, especially regarding the significance of neoplastic disorders in relation to the broader reconstruction of past human health in Peru. Copyright © 2014 John Wiley & Sons, Ltd.     

Differential diagnosis and discussion of a large nasal neoplasm from a late Bronze Age Athenian male

An adult male from the late Bronze Age of Athens, Greece, was found to have a large neoplasm in the nasal cavity. The characteristics of the lesion suggest that it was an osteoma of the ethmoid. Secondary infections of the paranasal sinuses are present as a result of the tumour blocking the sinus drainage. Copyright © 2009 John Wiley & Sons, Ltd.     

Differential diagnosis of an unusual tibial pathology from Peru

During an osteological analysis of human skeletal remains from the site of Punta Lobos (Huarmey Valley, northern coastal Peru), an unusual erosive lesion of the cortex with periosteal reaction was observed on a right tibia. The authors undertook a review of paleopathological and medical literature to arrive at a differential diagnosis. The lesion is determined to be a non‐malignant growth, possibly a large periosteal ganglion, though a diagnosis of periosteal chondroma (a benign neoplasm) or other uncommon neoplasm could not be definitively ruled out. Copyright © 2010 John Wiley & Sons, Ltd.