Do osteomas (bone tumors) continue to grow?

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Last updated: March 24, 2025View editorial policy

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From the Research

Osteomas are known to show very slow continuous growth, even in adulthood, and may continue to grow gradually over years. These benign bone tumors most commonly occur in the skull and facial bones, particularly the paranasal sinuses. While many osteomas remain small and asymptomatic, some continue to grow, with the growth rate varying between individuals and depending on factors like the location and the patient's age 1. The growth pattern of osteomas tends to be more active during adolescence and early adulthood, often stabilizing in later adulthood.

Key Characteristics of Osteomas

  • They are benign bone lesions with no clear pathogenesis, almost exclusive to the craniofacial area
  • They can be divided into different types based on their composition, growth direction, and other characteristics
  • Symptoms, if present, are usually the result of obstruction or compression of adjacent structures

Diagnosis and Management

  • Diagnosis is typically made by imaging studies such as CT scans, which can show the osteoma as a radiopaque lesion similar to bone cortex
  • Surgical treatment is generally recommended for symptomatic osteomas or those that cause aesthetic or functional problems 1, 2
  • The choice of surgical approach depends on the location, size, and growth pattern of the osteoma, with the goal of achieving complete removal while minimizing damage to adjacent structures

Monitoring and Follow-Up

  • Regular monitoring through imaging studies is recommended for symptomatic osteomas or those in critical locations
  • Asymptomatic, small osteomas may not require treatment but should be observed periodically to assess for any changes in size or symptoms 3, 4

References

Research

Craniofacial Osteomas: From Diagnosis to Therapy.

Journal of clinical medicine, 2021

Research

Surgical management of giant skull osteomas.

Asian journal of neurosurgery, 2017

Research

Fronto-ethmoidal osteoma. Open treatment.

Annali italiani di chirurgia, 2014

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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