Desmoplastic Fibroma

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Topic updated on 11/10/12 1:32pm
Introduction
  • Rare low-grade malignant fibrogenic tumor of bone
  • Usually occurs in the metaphysis of young patients (15-25)
  • Prognosis
    • recurrence rate of 40%
Symptoms
  • Presentation
    • painful lesion
Imaging
  • Radiographic characteristics
    • purly lytic lesion
    • reactive traneculations
    • may involve cortex
    • may have soft tissue mass
Histology
  • Classic characteristics are
    • dense swirling fibrous spindle cells  
    • mature fibroblasts without cellular atypia 
    • abundant collagen 
Treatment
  • Operative
    • wide surgical resection vs. intralesional curretage
 
  Location
Xray
Xray
CT
B. Scan
MRI
MRI
Histo(1)
Case A distal tibia
 
Case B proximal tibia    
Case C distal femur      
(1) - histology does not always correspond to case 

 

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