%0 Case Reports %T Neonatal osteoblastic tumor with a novel PTBP1::FOSB fusion. %A Blackburn PR %A Douglass DP %A Ramakrishnaiah RH %A Montgomery CO %A Shi Z %A Wheeler DA %A Koo SC %J Genes Chromosomes Cancer %V 62 %N 10 %D 2023 10 3 %M 37132513 %F 4.263 %R 10.1002/gcc.23149 %X Congenital/neonatal bone neoplasms are extremely rare. We present the case of a patient with a neonatal bone tumor of the fibula that had osteoblastic differentiation and a novel PTBP1::FOSB fusion. FOSB fusions are described in several different tumor types, including osteoid osteoma and osteoblastoma; however, these tumors typically present in the second or third decade of life, with case reports as young as 4 months of age. Our case expands the spectrum of congenital/neonatal bone lesions. The initial radiologic, histologic, and molecular findings supported the decision for close clinical follow-up rather than more aggressive intervention. Since the time of diagnosis, this tumor has undergone radiologic regression without treatment.