title: Multiple recurrences and late metastasis of adamantinoma in the tibia: a case report.
abstract: Adamantinoma is a rare, low-grade, malignant bone tumour. We report on a 46-year-old woman who had early multiple recurrences of adamantinoma of the right tibia and late metastasis to the lung and ribs 13 years after the first surgical treatment. She underwent multiple complete tumour excisions and eventually below-knee amputation and removal of the left lung and sixth to eighth ribs.
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece.
authors.forename: D K
authors.initials: DK
authors.lastname: Giannoulis
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Gantsos
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece.
authors.forename: D
authors.initials: D
authors.lastname: Giotis
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece & Department of Biomedical Engineering, University of California, Davis, CA, USA.
authors.forename: N K
authors.initials: NK
authors.lastname: Paschos
authors.affiliation: Department of Medical Oncology, University Hospital of Ioannina, Greece.
authors.forename: A
authors.initials: A
authors.lastname: Vagionas
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece.
authors.forename: C M
authors.initials: CM
authors.lastname: Arnaoutoglou
authors.affiliation: Department of Medical Oncology, University Hospital of Ioannina, Greece.
authors.forename: G
authors.initials: G
authors.lastname: Pentheroudakis
authors.affiliation: Department of Orthopaedic Surgery, University Hospital of Ioannina, Greece.
authors.forename: T A
authors.initials: TA
authors.lastname: Xenakis
mesh_terms: D050398:Adamantinoma / Q000556:secondary / Q000601:surgery*; D000671:Amputation, Surgical; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery*; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D011013:Pneumonectomy; D012272:Ribs / Q000601:surgery; D013977:Tibia / Q000601:surgery*
keywords: adamantinoma; neoplasm metastasis; neoplasm recurrence, local; tibia