title: Chondromyxoid fibroma management: a single institution experience of 22 cases.
abstract: BACKGROUND
  Several different strategies have been reported for the treatment of chondromyxoid fibromas, all with variable outcomes and high recurrence rates.
  
  
  METHODS
  We report on 22 consecutive cases of chondromyxoid fibromas treated by intralesional curettage, four of which had adjuvant cementation at our institution between 2003 and 2010. We assessed the functional outcome using the Musculoskeletal Tumour Society (MSTS) scoring system.
  
  
  RESULTS
  Nine males and 16 females with a mean age of 36.5 years (range 11 to 73) and a mean follow-up of 60.7 months were included in the study. Local recurrence occurred in two patients (9%) within the first 2 years following the index procedure. This was treated by re-curettage only of the residual defect. Two postoperative complications occurred: a superficial wound infection in one patient and a transient deep peroneal nerve neurapraxia in the other. The mean postoperative MSTS score was 96.7%.
  
  
  CONCLUSIONS
  Intralesional curettage and cementation is as an effective treatment strategy for chondromyxoid fibromas, providing satisfactory functional results with a low recurrence rate. Careful case selection with stringent clinical and radiographic follow-up is recommended.
authors.affiliation: Bone Tumour Unit, The Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UK. j_s_bhamra@hotmail.com.
authors.forename: Jagmeet S
authors.initials: JS
authors.lastname: Bhamra
authors.forename: Hesham
authors.initials: H
authors.lastname: Al-Khateeb
authors.forename: Baljinder S
authors.initials: BS
authors.lastname: Dhinsa
authors.forename: Panos D
authors.initials: PD
authors.lastname: Gikas
authors.forename: Roberto
authors.initials: R
authors.lastname: Tirabosco
authors.forename: Robin C
authors.initials: RC
authors.lastname: Pollock
authors.forename: John A
authors.initials: JA
authors.lastname: Skinner
authors.forename: William J
authors.initials: WJ
authors.lastname: Aston
authors.forename: Asif
authors.initials: A
authors.lastname: Saifuddin
authors.forename: Timothy Wr
authors.initials: TW
authors.lastname: Briggs
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D002484:Cementation; D002648:Child; D002804:Chondroblastoma / Q000473:pathology / Q000601:surgery*; D003475:Curettage; D005260:Female; D005350:Fibroma / Q000473:pathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis*; D009367:Neoplasm Staging; D011183:Postoperative Complications; D011379:Prognosis; D055815:Young Adult