Chondromyxoid fibroma of the femur in a child aged 9 years (Clinical case)

Cover Page


Cite item

Full Text

Abstract

The article reflects the experience in the diagnosis and surgical treatment of chondromyxoid fibroma in the proximal metadiaphysis of a large femoral bone in a child in the first decade of life. We presented the family and medical history of the child complaints, orthopedic/local status, and the results of radiological methods and emphasized difficulties of nosologic identification and differential diagnosis of the bone destructive process at the stage before biopsy and surgery. Macroscopic findings during surgery were identified, and the amount of resection of the affected bone was determined. A detailed description of the results of pathological and morphological (macro- and microscopic) studies is given, which could confirm the tumor process. Late results with the absence of oncological re-occurrence (7 years) and good anatomical and functional results from orthopedic surgery are shown.

About the authors

Aleksander Pavlovich Pozdeev

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

MD, PhD, professor, chief research associate of the department of bone pathology. The Turner Scientific and Research Institute for Children’s Orthopedics

Nikolai Georgievich Chigvariya

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

MD, PhD, senior research associate of the department of maxillofacial surgery. The Turner Scientific and Research Institute for Children’s Orthopedics

Ivan Nikolaevich Krasnogorskiy

The Turner Institute for Children’s Orthopedics, Saint-Petersburg, Russian Federation

MD, PhD, senior research associate histologist of the scientific and morphological laboratory. The Turner Scientific and Research Institute for Children’s Orthopedics

References

  1. Fletcher CD, Unni KK, Mertens F. World Health Organization classification of tumours. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press, 2002. 429 p.
  2. Fechner RE, Mills SE. Atlas of tumor pathology: tumors of the bones and joints. Washington, D. C.: Armed Forces Institute of Pathology, 1993. 300 p.
  3. Jaffe HL, Lichtenstein L. Chondromyxoid fibroma of bone: a distinctive benign tumor likely to be mistaken especially for chondrosarcoma. Arch Pathol. 1948;45:541-551.
  4. Schajowicz F, Sissons HA, Sobin LH. The World Health Organization’s Histologic Classification of bone tumors. A commentary on the second edition. Cancer. 1995;75(5):1208-1214. doi: 10.1002/1097-0142 (19950301)75:5<1208::AID-CNCR2820750522>3.0.CO;2-F.
  5. Campanacci M. Bone and soft tissue tumors: clinical features, imaging, pathology and treatment. N. Y.: Springer, 1999. 1319 p. doi: 10.1007/978-3-7091-3846-5.
  6. Зацепин С.Т. Костная патология взрослых. М.: Медицина, 2001. - 640 с.
  7. Bhamra JS, Al-Khateeb H, Dhinsa BS, et al. Chondromyxoid fibroma management: a single institution experience of 22 cases. World Journal of Surgical Oncology. 2014;12:283-288. doi: 10.1186/1477-7819-12-283.
  8. Takenaga RK, Frassica FJ, McCarthy EF. Subperiosteal chondromyxoid fibroma: a report of two cases. The Iowa Orthopaedic Journal. 2007;27:104-107.
  9. Sharma H, Jane MJ, Reid R. Сhondromyxoid fibroma of the foot and ankle: 40 years` Scottish bone tumour registry experience. International Orthopaedics. 2006;30(3):205-209. doi: 10.1007/s00264-005-0046-y.
  10. Dulani R, Dwidmuthe SC, Shrivastava S, et al. Huge chondromyxoid fibroma of proximal third tibia masquerading as an aneurysmal bone cyst: a rare case report. South Asian Journal of Cancer. 2013;2(1):13-15. doi: 10.4103/2278-330x.105875.
  11. Bullough PG, Vigorita VJ. Atlas of orthopaedic pathology with clinical and radiologic correlations. New York: Gower Medical Publishing Ltd., 1984. 312 p.
  12. Виноградова Т.П. Опухоли костей. М.: Медицина, 1973. - 336 с.
  13. Нейштадт Э.Л., Маркочев А.Б. Опухоли и опухолеподобные заболевания костей. - СПб.: ООО «Издательство ФОЛИАНТ», 2007. - 344 с.

Supplementary files

Supplementary Files
Action
1. JATS XML
Download

Copyright (c) 2015 Pozdeev A.P., Chigvariya N.G., Krasnogorskiy I.N.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ: серия ПИ № ФС77-54261 от 24 мая 2013 г.


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies