Benign fibrous histiocytoma of the femur: A rare pediatric case report

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Abstract

BACKGROUND: Benign fibrous histiocytoma is known to be a frequent skin tumor but its occurrence in bone remains very rare especially in pediatric population. This entity is a subject of interest also because histologically it can mimic other fibrohistiocytic lesions of bone such as non-ossifying fibroma.

CLINICAL CASE: An 11-year-old patient admitted with swelling of the right thigh and intermittent pain. Radiological evaluation shows cystic lesion of the femur with a soap-bubble and a border of condensation. Histopathological examination of the biopsy sample established the diagnosis of benign fibrous histiocytoma. The patient underwent complete curettage of the lesion with bone graft. There is no recurrence 16 months after surgery.

DISCUSSION: Benign fibrous histiocytoma is a rare bone tumor especially in children. Histologically it can mimic non-ossifying fibroma. Thus clinical and radiological features are important to differentiate these tumors in order to choose adequate treatment.

CONCLUSIONS: Benign fibrous histiocytoma is probably underestimated in pediatric population. This diagnosis should be considered in any child or teenager who presents with a non-ossifying fibroma accompanied by unexplainable pain or a rapid growing.

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About the authors

Hicham Abdellaoui

Hassan II University Hospital; Sidi Mohamed Ben Abdellah University

Author for correspondence.
Email: hicham.abdellaoui@usmba.ac.ma
ORCID iD: 0000-0002-5985-7362

MD, Med Spec, Professor, service de traumatologie-orthopédie pédiatrique, Centre Hospitalier Universitaire Hassan II 

Morocco, Route de Sidi Harazem, B.P. 1835, Atlas, Fès-Maroc Fès, 30000; Fez

Mohammed Tazi Charqui

Hassan II University Hospital; Sidi Mohamed Ben Abdellah University

Email: dr.tazimohammed@gmail.com
ORCID iD: 0000-0001-8453-5392

MD, Med Spec, Professor

Morocco, Route de Sidi Harazem, B.P. 1835, Atlas, Fès-Maroc Fès, 30000; Fez

Fatoumata Binta Balde

Hassan II University Hospital

Email: fatoumatabinta.balde@usmba.ac.ma
ORCID iD: 0000-0002-8473-6618

MD, trainee surgeon

Morocco, Route de Sidi Harazem, B.P. 1835, Atlas, Fès-Maroc Fès, 30000

Karima Atarraf

Hassan II University Hospital; Sidi Mohamed Ben Abdellah University

Email: kamiatarraf@gmail.com
ORCID iD: 0000-0001-9709-4450

MD, Med Spec, Professor

Morocco, Route de Sidi Harazem, B.P. 1835, Atlas, Fès-Maroc Fès, 30000; Fez

Afifi My Abderrahmane

Hassan II University Hospital; Sidi Mohamed Ben Abdellah University

Email: afifi.myabderrahmane@gmail.com
ORCID iD: 0000-0002-3375-6184

MD, Med Spec, Professor

Route de Sidi Harazem, B.P. 1835, Atlas, Fès-Maroc Fès, 30000; Fez

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Supplementary files

Supplementary Files
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1. JATS XML
2. Fig. 1. Anteroposterior and lateral radiograph showing a located lytic lesion with marginal sclerosis in the medial third of the left femur. A lateral cortical thinning is noted

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3. Fig. 2. Preoperative CT showing lytic lesion in the medial third of the femur on transversal (a) and coronal cut (b) with marginal sclerosis (c)

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4. Fig. 3. CT at 16 months postoperatively: no sign of recurrence is seen on transversal (a) and coronal cut (b)

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Copyright (c) 2021 Abdellaoui H., Tazi Charqui M., Balde F., Atarraf K., My Abderrahmane A.

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