ABSTRACT
Metastatic lesions that are predominantly limited to the cortex of bone are unusual. They do, however, often produce a distinct pattern of destruction. This resembles bites along the edge of a cookie or the cutout in the dough left by a cookie cutter. Both of the terms (cookie bite and cookie cutter) are attributed to Andrew Deutsch and Donald Resnick (University of California and VA Medical Center, San Diego) 1 . They, along with Gen Niwayama, used the term cookie bites in the discussion of a 1981 case report of a patient with a bronchogenic carcinoma who had bone metastases. 2 They refer to an earlier paper ‘submitted for publication’ (their reference 2) with the term cookie bite in the tide; however, that paper in its final published form 3 does not contain either term. Apparently the ‘sign police’ at the editorial office thwarted that attempt to embellish the literature with some picturesque language.
