[Desmoplastic fibroma of the fibula. A difficult clinical, radiological and histological diagnosis].
Desmoplastic fibroma of bone is a rare benign tumor that is made up of wavy fibroblasts and abundant collagenous tissue. The case of a 18-year-old patient is presented with a two months history of weightbearing pain in the left knee. Neither native x-ray, CT nor MRI could detect the kind of tumor. The histological findings lead finally to the diagnosis of a desmoplastic fibroma. Wide resection prevented recurrence of the tumor for 8 1/2 years until now. Considering the semi-malignant character of the desmoplastic fibroma and the recurrence rate marginal or wide resection for the primary treatment is recommended. The superior imaging quality of MRI facilitates preoperative planning.
Perlick
L
L
Klinik und Poliklinik für Orthopädie, Friedrich-Wilhelms-Universität, Bonn.
Zander
D
D
Wallny
T
T
Zhou
H
H
D000293:Adolescent; D001859:Bone Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D018220:Fibroma, Desmoplastic / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D005360:Fibula / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D012086:Reoperation