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Button osteoma: its etiology and pathophysiology.

Vered Eshed1, Bruce Latimer, Charles M Greenwald

  • 1Department of Anatomy and Anthropology, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, Israel.

American Journal of Physical Anthropology
|July 13, 2002
PubMed
Summary
This summary is machine-generated.

Button lesions (BtL), a common cranial bony overgrowth, appear frequently in both ancient and modern human populations across all demographics. Their structure suggests an evolutionary origin rather than a typical bone tumor.

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Area of Science:

  • Paleoanthropology
  • Skeletal Biology
  • Histopathology

Background:

  • Button lesions (BtL) are circumscribed bony overgrowths on the cranial vault.
  • Previous understanding of BtL as osteomas or exostoses is questioned.
  • The anthropological and evolutionary significance of BtL requires further investigation.

Purpose of the Study:

  • To investigate the histology, location, and population distribution of button lesions (BtL).
  • To analyze the anthropological implications of BtL frequency and characteristics.
  • To determine if BtL has an evolutionary background.

Main Methods:

  • Microscopic examination of BtL histology.
  • Analysis of BtL location on human and nonhuman primate skulls.
  • Statistical analysis of BtL prevalence across different populations (age, race, sex) and time periods.

Main Results:

  • BtL consists of dense, poorly vascularized lamellated bone with few osteocytes.
  • BtL frequency is high and consistent (37.6%-41.1%) in modern and archaeological human populations, independent of sex and race, and correlates with age.
  • BtL is rare in nonhuman primates, with most human skulls exhibiting single lesions predominantly on the parietal bones.

Conclusions:

  • The demographic characteristics and histological structure of BtL suggest it is a hamartoma with an evolutionary background.
  • BtL prevalence indicates it is a common phenomenon in human evolution.
  • Further research into the developmental and evolutionary pathways of BtL is warranted.