Bullough's bump: Unusual protuberant fibro-osseous tumor of the temporal bone. case report

Bowen Jiang, Harry Mushlin, Lei Zhang, Aaron W. James, Alan R. Cohen

Research output: Contribution to journalArticlepeer-review

5 Scopus citations


Scalp and calvarial masses are common in children and the differential diagnosis is broad. The authors recently cared for a child with an unusual fibro-osseous lesion of the temporal bone that has previously not been described in the pediatric neurosurgery literature. A 10-year-old girl presented with a firm, slowly enlarging protuberant mass arising from the squamous suture of the temporal bone without intracranial extension. The mass was removed en bloc through a temporal craniectomy and cranioplasty was performed. The patient had a smooth postoperative course. Histological examination showed multiple oval osseous islands dispersed throughout a bland fibrous stroma. The pathological diagnosis was "Bullough's bump," a rare, benign fibro-osseous neoplasm first described in 1999, and only 8 reported cases appear in the literature. Here the authors report the first case of Bullough's bump in a child.

Original languageEnglish (US)
Pages (from-to)107-111
Number of pages5
JournalJournal of Neurosurgery: Pediatrics
Issue number2
StatePublished - Feb 2018


  • Bullough's bump
  • Bullough's lesion
  • Craniofacial
  • Exophytic
  • Fibroosseous
  • Protuberant fibro-osseous lesion
  • Skull neoplasm

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Clinical Neurology


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