Desmoplastic fibroma of the cranium: case report and review of the literature.
OBJECTIVE
Desmoplastic fibroma is a benign bone tumor that can be locally aggressive. It usually occurs in the long bones and mandible. We report on a patient with a desmoplastic fibroma arising in the temporal bone and review previously published cases of desmoplastic fibroma originating within the cranium.


METHODS
A 43-year-old woman presented with a 12-year history of progressively worsening head asymmetry. Magnetic resonance imaging and computed tomography demonstrated a mass originating from the bone and involving the adjacent soft tissues.


METHODS
A temporal parietal craniectomy was performed with excision of a large tumor involving the bone. An acrylic cranioplasty was used to replace the bone. Pathological examination of the lesion identified desmoplastic fibroma of the cranium. After surgery, the patient's cranial asymmetry was corrected.


CONCLUSIONS
Desmoplastic fibroma of the cranium is rare. Surgical resection is the treatment of choice.
Rabin
Doron
D
Department of Clinical Neurological Sciences, Division of Neurosurgery, London Health Sciences Centre, University of Western Ontario, London, Ontario, Canada.
Ang
Lee Cyn
LC
Megyesi
Joseph
J
Lee
Donald H
DH
Duggal
Neil
N
D000328:Adult; D003399:Craniotomy; D003937:Diagnosis, Differential; D005260:Female; D018220:Fibroma, Desmoplastic / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D005624:Frontal Bone / Q000473:pathology / Q000601:surgery; D006801:Humans; D008279:Magnetic Resonance Imaging; D009361:Neoplasm Invasiveness; D010296:Parietal Lobe / Q000473:pathology / Q000601:surgery; D012888:Skull Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D012983:Soft Tissue Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D013701:Temporal Bone / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed