Pulmonary metastases of a tibia adamantinoma. Case report and review of the literature.
An adamantinoma is a rare primary tumour of bone. It is usually seen by stomatologists as a tumour of the jaws, although several cases of the long bones, especially the tibia, have been described. The tumour is considered as a low grade malignancy with unknown histogenesis. It has a high rate of local recurrence after resection and metastasizes in part of the cases. This report describes a 41-year-old woman with multiple pulmonary metastases occurring 27 years after the diagnosis of a tibia adamantinoma. The clinical, radiographic and fiber-bronchoscopic findings are presented. The literature of adamantinoma metastasis is reviewed. The need for an early locally aggressive treatment is stressed as the treatment of metastatic disease seems very disappointing.
De Keyser
F
F
Kliniek voor Longziekten, Universitaire Ziekenhuizen, Leuven, België.
Vansteenkiste
J
J
Van Den Brande
P
P
Demedts
M
M
Van de Woestijne
K P
KP
D000328:Adult; D000564:Ameloblastoma / Q000000981:diagnostic imaging / Q000556:secondary*; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000556:secondary*; D011859:Radiography; D013977:Tibia