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Observation
86%
317/368
Curettage and grafting
10%
35/368
Wide surgical resection
2%
8/368
Whole body bone scan
7/368
Chemotherapy
0%
0/368
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The lesion shown is a nonossifying fibroma. With no pain preceding the traumatic episode and painless weight bearing, the lesion does not appear at risk for fracture. Simple observation with repeat radiographs at a time interval (3 to 6 months) to document stability is sufficient. Surgical intervention is unnecessary because the risk of fracture is low and the natural history is one of spontaneous regression during adolescence. The lesion is benign; therefore, chemotherapy is not indicated. While a bone scan may provide some useful information, it is unnecessary for the diagnosis and adds little to management decisions.
4.0
(5)
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