Introduction: Though bone tumours are infrequently encountered compared to the occurrence of other neoplastic lesion, they are of great significance because majority of them affect adolescents and young adults with a tendency of aggressive course. Methodology: The study was prospective and there was need to study various bone tumours and tumour like lesions of bone in the experience of the department of pathology, and hence study was conducted. All patients with clinical and radiological suspicion of primary and secondary tumours and tumour like lesions of the bone which require biopsy or surgical excision. Results: Out of 50 lesions studied, malignant bone tumours were 27 (54%) , benign tumours 16 (32%) and tumour like lesions 7 (14%). The ratio of benign to malignant bone tumours was 1 to 1.68. Conclusion: Benign bone tumours though common in general population are less often biopsied. Tumour like lesions more commonly present clinically as neoplastic lesion and also appear as tumours on X­rays.

Keywords: Bone Tumours; Histopathology; Tumour Like Lesions.