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Jelti O, El Alaoui O, Lachkar A, Abdeljaouad N, Yacoubi H. Chondromyxoid Fibroma of the Distal Tibia: A Rare Case Report. Cureus 2023; 15:e51319. [PMID: 38288196 PMCID: PMC10823460 DOI: 10.7759/cureus.51319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/30/2023] [Indexed: 01/31/2024] Open
Abstract
Chondromyxoid fibroma is one of the rarest bone tumours, occurring most frequently in adult men in their second and third decades. It generally affects the metaphysis of long bones, particularly the femur and tibia. Diagnosis can pose differential challenges with various tumor types, particularly chondrosarcoma, requiring separate management. We present a case of chondromyxoid fibroma of the distal tibia detected by soft tissue swelling. Clinical, epidemiological and radiological aspects will be discussed.
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Affiliation(s)
- Ousama Jelti
- Department of Orthopedics and Traumatology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MAR
| | - Oussama El Alaoui
- Department of Orthopedics and Traumatology, Centre Hospitalier Universitaire (CHU) Mohammed VI Oujda, Oujda, MAR
| | - Adnane Lachkar
- Department of Orthopedics and Traumatology, Mohammed VI University Hospital, Oujda, MAR
- Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MAR
| | - Najib Abdeljaouad
- Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MAR
- Department of Orthopedics and Traumatology, Mohammed VI University Hospital, Oujda, MAR
| | - Hicham Yacoubi
- Faculty of Medicine and Pharmacy, Mohammed Ist University, Oujda, MAR
- Department of Orthopedics and Traumatology, Mohammed VI University Hospital, Oujda, MAR
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2
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Chondromyxoid fibroma of the mandible: A case report. ADVANCES IN ORAL AND MAXILLOFACIAL SURGERY 2021. [DOI: 10.1016/j.adoms.2021.100020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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3
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A rare case of juxtacortic chondromyxoid fibroma in proximal humerus. TRANSLATIONAL RESEARCH IN ANATOMY 2020. [DOI: 10.1016/j.tria.2020.100066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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4
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Dodson V, Majmundar N, Sharer L, Fitzhugh VA, Assina R. Chondromyxoid Fibroma of the Sacral Spine. Int J Surg Pathol 2020; 28:799-803. [PMID: 32362154 DOI: 10.1177/1066896920916784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background and Importance. Chondromyxoid fibromas are rare tumors of cartilaginous origin typically found in long bones. They usually present during the second and third decades of life. In this case report, we describe the case of a 60-year-old male who presented with back pain and was later found to have a sacral mass. Further immunohistochemical analysis determined that the mass was a chondromyxoid fibroma. Clinical Presentation. A 60-year-old male presented with worsening lower back pain over the course of 2 years. Magnetic resonance imaging demonstrated a destructive mass centered at S4 with heterogeneous enhancement. The patient underwent an S3-to-Co1 laminectomy for gross total resection of the tumor. Histology demonstrated a biphasic, lobulated appearance, characteristic of a chondromyxoid fibroma. The tissue stained faintly positive for multicytokeratin, and it was negative for markers S-100 protein and brachyury, indicating that it was not a chordoma. Conclusion. Only 8 cases have documented sacral chondromyxoid fibroma. As these are exceedingly rare tumors, especially within the sacral spine, the differential diagnosis includes other malignant tumors more likely to be found in the spine, particularly chordomas and chondrosarcomas. Immunohistochemistry and histology are essential in making a definitive diagnosis. This case provides a comprehensive illustration of the clinical presentation, radiographic findings, and immunohistochemistry of sacral chondromyxoid fibroma.
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Affiliation(s)
| | | | - Leroy Sharer
- Rutgers New Jersey Medical School, Newark, NJ, USA
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HemanthaKumar G, Sathish M. Diagnosis and Literature Review of Chondromyxoid Fibroma - A Pathological Puzzle. J Orthop Case Rep 2019; 9:101-105. [PMID: 32405500 PMCID: PMC7210904 DOI: 10.13107/jocr.2019.v09.i04.1500] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023] Open
Abstract
INTRODUCTION Chondromyxoid fibroma (CMF) is a benign rare bone tumor of slow-growing nature arising from chondroblastic derivation. CMF in most of the cases is a diagnosis of exclusion, and in this case report, we differentiate the histological and radiological findings of CMF and difficulties in diagnosis of CMF from potential differential diagnosis. CASE REPORT A 38-year-old female patient presented with a history of limping for 5 months and on evaluation revealed an expansile osteolytic lesion in fibular head with septations and soft tissue component. Excision biopsy was done. Histological examination revealed a cellular neoplasm arranged as vague nodules in chondroid background with occasional mitotic figures and giant cells in periphery without any calcification. To rule out chondroblastoma, S-100 and epithelial markers were done which was negative establishing diagnosis of CMF by exclusion. CONCLUSION CMF is often misdiagnosed being a radiological and pathological mimicker. Histology remains key to diagnosis. En bloc resection remains the mainstay of management in expendable bone-like fibula.
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Affiliation(s)
- G HemanthaKumar
- Department of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
| | - Muthu Sathish
- Department of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai, Tamil Nadu, India
- Address of Correspondence: Dr. Muthu Sathish, Department of Orthopaedics and Traumatology, Rajiv Gandhi Government General Hospital, Chennai - 600 003, Tamil Nadu, India. E-mail:
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Koch G, Cazzato RL, Gilkison A, Caudrelier J, Garnon J, Gangi A. Percutaneous Treatments of Benign Bone Tumors. Semin Intervent Radiol 2018; 35:324-332. [PMID: 30402015 DOI: 10.1055/s-0038-1673640] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
Benign bone tumors consist of a wide variety of neoplasms that do not metastasize but can still cause local complications. Historical management of these tumors has included surgical treatment for lesion resection and possible mechanical stabilization. Initial percutaneous ablation techniques were described for osteoid osteoma management. The successful experience from these resulted in further percutaneous image-guided techniques being attempted, and in other benign bone tumor types. In this article, we present the most common benign bone tumors and describe the available results for the percutaneous treatment of these lesions.
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Affiliation(s)
- Guillaume Koch
- Interventional Imaging, Nouvel Hôpital Civil, 1 place de l'Hôpital, Strasbourg Cedex, France.,Department of Anatomy, University of Strasbourg, Strasbourg, France
| | - Roberto Luigi Cazzato
- Interventional Imaging, Nouvel Hôpital Civil, 1 place de l'Hôpital, Strasbourg Cedex, France
| | - Andrew Gilkison
- Radiology Department, Christchurch Public Hospital, Christchurch, New Zealand
| | - Jean Caudrelier
- Interventional Imaging, Nouvel Hôpital Civil, 1 place de l'Hôpital, Strasbourg Cedex, France
| | - Julien Garnon
- Interventional Imaging, Nouvel Hôpital Civil, 1 place de l'Hôpital, Strasbourg Cedex, France
| | - Afshin Gangi
- Interventional Imaging, Nouvel Hôpital Civil, 1 place de l'Hôpital, Strasbourg Cedex, France
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Ali HM. Huge chondromyxoid fibroma of the right iliac wing with tremendous soft tissue extensions. BJR Case Rep 2018; 4:20170014. [PMID: 30363225 PMCID: PMC6159151 DOI: 10.1259/bjrcr.20170014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2017] [Revised: 08/04/2017] [Accepted: 08/09/2017] [Indexed: 11/30/2022] Open
Abstract
This report describes a huge chondromyxoid fibroma (CMF) that developed in the right iliac crest and wing. The tumour is rare, perhaps the rarest of all bone tumours, and its occurrence in the iliac crest and wing of a 63-year-old male is extraordinarily uncommon. The patient complained of gradual onset of right groin pain over a period of more than 2 years and low back pain and tender swelling of the right gluteal region over a period of another 1 year. Conventional radiography of the lumbar spine and pelvis revealed a large osteolytic lesion of the right iliac crest and wing associated with mild levoscoliosis. MRI of the pelvis revealed a huge well-defined lesion arising from the right iliac crest and wing and extending to the right paraspinal region, false pelvis and right gluteal region and displacing rather than invading the surrounding structures. The patient underwent surgery, and the mass was totally removed. The clinical manifestations, imaging findings and surgical treatment of the lesion are discussed.
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Berenstein-Weyel T, Lebel E, Katz D, Applbaum Y, Peyser A. Chondromyxoid fibroma of the distal fibula treated by percutaneous radiofrequency ablation. J Orthop Surg (Hong Kong) 2018; 25:2309499017720830. [PMID: 28731366 DOI: 10.1177/2309499017720830] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Percutaneous radiofrequency ablation (RFA) has been shown to be an effective treatment for soft tissue lesions and also benign bone tumors, especially osteoid osteoma. There are limited data regarding this technique in other bone tumors, specifically larger and more aggressive ones. PURPOSES To describe the use of RFA as a definitive treatment and an alternative to traditional open surgery for the treatment of chondromyxoid fibroma (CMF), a benign but locally aggressive bone tumor. CASE PRESENTATION An 11.5-year-old girl was diagnosed with a 4-cm lytic bone lesion of the distal fibula. Evaluation, including biopsy, revealed CMF. It was managed by fluoroscopy-guided RFA only. Six-year follow-up demonstrated complete healing without damage to the adjacent distal fibular growth plate. DISCUSSION AND CONCLUSIONS RFA induces local heat in the ablation field and causes tissue necrosis. The depth of heat penetration and the size of heated sphere are accurately controlled by modern types of ablation probes and accurate positioning. The current report demonstrates the ability to use this percutaneous technique for larger and more aggressive bone tumors than has been indicated previously.
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Affiliation(s)
- Tamar Berenstein-Weyel
- 1 Pediatric Orthopedic Unit, Department of Orthopedic Surgery, Hadassah-Hebrew University School of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Ehud Lebel
- 1 Pediatric Orthopedic Unit, Department of Orthopedic Surgery, Hadassah-Hebrew University School of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Daniela Katz
- 2 Department of Oncology, Oncology institute, Assaf Harofeh Medical Center, Zrifin
| | - Yaakov Applbaum
- 3 Department of Radiology, Hadassah-Hebrew University School of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel
| | - Amos Peyser
- 4 Department of Orthopedic Surgery, Hadassah-Hebrew University School of Medicine, Shaare Zedek Medical Center, Jerusalem, Israel
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9
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Chetia NP, Bidyananda A, Borgohain M. A case report on partial scapulectomy with glenoid preservation for Chondromyxoid fibroma of scapula. J Clin Orthop Trauma 2018; 9:S129-S135. [PMID: 29628714 PMCID: PMC5883918 DOI: 10.1016/j.jcot.2017.12.011] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2017] [Revised: 11/19/2017] [Accepted: 12/28/2017] [Indexed: 11/25/2022] Open
Abstract
Chondromyxoid fibroma is a benign bone tumour accounting for less than 1% of all primary bone tumours. It usually affects the metaphyseal region of long bones in the first or second decade of life. It rarely occurs in scapula. We present a case of 29 year old female with biopsy proven Chondromyxoid fibroma of left scapula. She underwent wide marginal excision by partial scapulectomy with preservation of glenoid. Post operatively she has stable shoulder joint with normal range of movement & no recurrence on regular follow up.
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Affiliation(s)
- Naba Pallab Chetia
- Assistant Professor, Department of Orthopaedics, Assam Medical College & Hospital, Dibrugarh, Assam, India
| | - Aritra Bidyananda
- Post graduate trainee, Department of Orthopaedics, Assam Medical College & Hospital, Dibrugarh, Assam, India
| | - Munin Borgohain
- Professor, Department of Orthopaedics, Assam Medical College & Hospital, Dibrugarh, Assam, India
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Dey B, Deshpande AH, Brar RK, Ray A. Chondromyxoid Fibroma of the Metatarsal Bone: A Diagnosis Using Fine Needle Aspiration Biopsy. J Cytol 2018; 35:67-68. [PMID: 29403178 PMCID: PMC5795736 DOI: 10.4103/joc.joc_48_17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Affiliation(s)
- Biswajit Dey
- Department of Pathology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India
| | - Archana H Deshpande
- Department of Pathology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India
| | - Rupinder K Brar
- Department of Pathology, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India
| | - Amit Ray
- Department of Orthpaedics, Andaman and Nicobar Islands Institute of Medical Sciences, Port Blair, India
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11
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Ladd LM, Roth TD. Computed Tomography and Magnetic Resonance Imaging of Bone Tumors. Semin Roentgenol 2017; 52:209-226. [PMID: 28965542 DOI: 10.1053/j.ro.2017.04.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022]
Affiliation(s)
- Lauren M Ladd
- Department of Radiology and Imaging Sciences, Indiana University Health, Indiana University School of Medicine, Indianapolis, IN.
| | - Trenton D Roth
- Department of Radiology and Imaging Sciences, Indiana University Health, Indiana University School of Medicine, Indianapolis, IN
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12
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Chowdary PB, Patil MD, Govindarajan AK. Chondromyxoid Fibroma: An Unusual Tumour at An Atypical Location. J Clin Diagn Res 2015; 9:XD04-XD05. [PMID: 26393192 DOI: 10.7860/jcdr/2015/13134.6184] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/21/2015] [Accepted: 05/21/2015] [Indexed: 11/24/2022]
Abstract
Rib tumours are mostly secondaries arising from breast or prostrate malignancies. Among primary rib tumours, osteochondromas are reported as the commonest cause. Chondromyxoid fibromas are primary benign rib tumours that are seldom seen, occurring almost exclusively at the metaphyseal ends of large tubular bones. Here a case of chondromyxoid fibroma of rib, its clinical and radiological features, management and prognosis, is discussed which has only an occasional mention in literature.
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Affiliation(s)
- Prashanth Basappa Chowdary
- Postgraduate Student, Department of General Surgery, Bangalore Medical College and Research Institute , Bangalore, Karnataka, India
| | - Mallikarjuna Devaredappa Patil
- Professor and Head, Department of Cardiovascular and Thoracic Surgery, Bangalore Medical College and Research Institute , Bangalore, Karnataka, India
| | - Abhay Kumar Govindarajan
- Postgraduate Student, Department of General Surgery, Bangalore Medical College and Research Institute , Bangalore, Karnataka, India
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13
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Bhamra JS, Al-Khateeb H, Dhinsa BS, Gikas PD, Tirabosco R, Pollock RC, Skinner JA, Aston WJ, Saifuddin A, Briggs TW. Chondromyxoid fibroma management: a single institution experience of 22 cases. World J Surg Oncol 2014; 12:283. [PMID: 25217119 PMCID: PMC4247711 DOI: 10.1186/1477-7819-12-283] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2013] [Accepted: 09/02/2014] [Indexed: 11/10/2022] Open
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.
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Affiliation(s)
- Jagmeet S Bhamra
- Bone Tumour Unit, The Royal National Orthopaedic Hospital, Stanmore, Middlesex HA7 4LP, UK.
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Aggressive tibial lesion in a 70-year-old man. Clin Orthop Relat Res 2014; 472:2555-60. [PMID: 24867455 PMCID: PMC4079861 DOI: 10.1007/s11999-014-3704-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/21/2014] [Accepted: 05/14/2014] [Indexed: 01/31/2023]
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Chondromyxoid fibroma of the finger. Arch Plast Surg 2014; 41:302-4. [PMID: 24883287 PMCID: PMC4037782 DOI: 10.5999/aps.2014.41.3.302] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/24/2013] [Revised: 08/13/2013] [Accepted: 08/13/2013] [Indexed: 11/08/2022] Open
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Kim HS, Jee WH, Ryu KN, Cho KH, Suh JS, Cho JH, Choi YS, Lee SM, Lee JM, Sung MS, Kim JY, Jung ES, Chung YG, Ok IY. MRI of chondromyxoid fibroma. Acta Radiol 2011; 52:875-80. [PMID: 21835889 DOI: 10.1258/ar.2011.110180] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Chondromyxoid fibroma is a rare benign primary bone tumor of cartilage. Despite a characteristic radiographic appearance, chondromyxoid fibroma with atypical radiographic findings may mimic more common tumors. PURPOSE To describe the MR findings of chondromyxoid fibroma. MATERIAL AND METHODS MR images of 19 histopathologically confirmed chondromyxoid fibromas were retrospectively analyzed for signal intensity, periosteal reaction, adjacent abnormal bone marrow and soft tissue signal, and patterns of contrast enhancement. RESULTS All cases of chondromyxoid fibroma showed hypointense to intermediate signal intensity and internal hyperintense foci were observed in seven (37%) cases on T1-weighted images. On T2-weighted images, all lesions were hyperintense: peripheral intermediate signal band with central hyperintense signal in 11 (58%) of 19 lesions, whereas diffusely hyperintense with heterogeneous pattern in eight (42%). Periosteal reaction was observed in 11 (58%) of 19 cases. Adjacent abnormal bone marrow or soft tissue signal was observed in 12 (63%) or 14 (74%) of 19 cases, respectively. On contrast-enhanced T1-weighted images, peripheral nodular enhancement was observed in 69% (11/16) and diffuse contrast enhancement was observed in 31% (5/16) with homogeneous (n = 3) or heterogeneous (n = 2) patterns. Among the cases with peripheral nodular enhancement, the peripheral nodular enhancing portion generally corresponded to the peripheral intermediate signal band on T2-weighted images, although the peripheral enhancement was not as wide as a band of intermediate signal intensity. On the other hand, the central non-enhancing portion generally corresponded to the central hyperintense signal intensity on T2-weighted images. CONCLUSION The helpful features of chondromyxoid fibroma are the peripheral intermediate signal band and central hyperintense signal on T2-weighted images, generally corresponding to the peripheral nodular enhancement and central non-enhancing portion on contrast-enhanced T1-weighted images, respectively.
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Affiliation(s)
- Hyun-Soo Kim
- Department of Radiology, Seoul St Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul
| | - Won-Hee Jee
- Department of Radiology, Seoul St Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul
| | - Kyung-Nam Ryu
- Department of Radiology, Kyung Hee University School of Medicine, Seoul
| | - Kil-Ho Cho
- Department of Radiology, Yeungnam University School of Medicine, Daegu
| | - Jin-Suck Suh
- Department of Radiology, Yonsei University School of Medicine, Seoul
| | - Jae-Hyun Cho
- Department of Radiology, Ajou University School of Medicine, Suwon
| | - Yun-Sun Choi
- Department of Radiology, Eulji University School of Medicine, Seoul
| | - Sung Moon Lee
- Department of Radiology, Keimyung University School of Medicine, Daegu
| | - Jong-Min Lee
- Department of Radiology, Kyungpook National University School of Medicine, Daegu
| | - Mi Sook Sung
- Department of Radiology, Bucheon St Mary's Hospital, School of Medicine, The Catholic University of Korea, Bucheon
| | - Jee Young Kim
- Department of Radiology, Bucheon St Mary's Hospital, School of Medicine, The Catholic University of Korea, Bucheon
- Department of Radiology, St Vincent Hospital, School of Medicine, The Catholic University of Korea, Suwon
| | - Eun Sun Jung
- Department of Pathology, Seoul St Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul
| | - Yang-Guk Chung
- Department of Orthopedic Surgery, Seoul St Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea
| | - In-Young Ok
- Department of Orthopedic Surgery, Seoul St Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea
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Intracortical chondromyxoid fibroma of the tibia. Musculoskelet Surg 2011; 97:177-81. [PMID: 21814765 DOI: 10.1007/s12306-011-0162-3] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2011] [Accepted: 07/18/2011] [Indexed: 10/17/2022]
Abstract
Intracortical chondromyxoid fibroma is an extremely rare benign neoplasm of cartilaginous origin that usually occurs as an eccentric lesion at the medullar metaphyseal region of long bones. We report the clinicoradiologic aspect of a new case located in the metaphyseal region of the upper tibia and discuss about the differential diagnosis.
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Di Giorgio L, Touloupakis G, Mastantuono M, Vitullo F, Imparato L. Chondromyxoid fibroma of the lateral malleolus: a case report. J Orthop Surg (Hong Kong) 2011; 19:247-9. [PMID: 21857056 DOI: 10.1177/230949901101900225] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Chondromyxoid fibromas account for <1% of primary bone neoplasms. We report one such case occurring in the distal fibula of a 27-year-old woman. The patient underwent curettage, followed by phenolisation, insertion of a Steinmann pin, and cementation. This treatment reduced morbidity, restored stability, and enabled rapid functional recovery. There was no recurrence after 2 years.
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Affiliation(s)
- Luigi Di Giorgio
- Dipartimento di Scienze dell' Apparato Locomotore, Policlinico Umberto I, Universita' Sapienza, Rome, Italy
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Reitz M, Zustin J, Matschke J, Schmidt NO, Westphal M. 56-year old woman with sphenoid wing tumor. Brain Pathol 2011; 21:225-8. [PMID: 21269338 DOI: 10.1111/j.1750-3639.2010.00471.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Fotiadis E, Akritopoulos P, Samoladas E, Akritopoulou K, Kenanidis E. Chondromyxoid fibroma: a rare tumor with an unusual location. Arch Orthop Trauma Surg 2008; 128:371-5. [PMID: 17342522 DOI: 10.1007/s00402-007-0309-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/14/2006] [Indexed: 02/09/2023]
Abstract
Chondromyxoid fibroma constitutes a rare benign tumor of the bones, which has a potential of regional enlargement towards the local tissues. An adult male patient at the age of 28 suffered a fracture of the lateral malleolus due to an eccentric, lytic, lobular lesion in the epiphysis, during a basketball match. The differential diagnosis included the chondroblastoma, the aneurysmal cyst and the chondrosarcoma. After the removal of the tumor with curettage, both with curette and with a high-speed burr, osseous cement was placed in the cavity of the lesion. The biopsy of the tumor confirmed the diagnosis of the chondromyxoid fibroma. This is the first unusual location of the tumor in the national bibliography. The patient after 5 years post-operatively does not show either clinical or radiological signs of regional recurrence of the tumor.
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Armah HB, McGough RL, Goodman MA, Gollin SM, Surti U, Parwani AV, Rao UNM. Chondromyxoid fibroma of rib with a novel chromosomal translocation: a report of four additional cases at unusual sites. Diagn Pathol 2007; 2:44. [PMID: 18036245 PMCID: PMC2203974 DOI: 10.1186/1746-1596-2-44] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2007] [Accepted: 11/24/2007] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Chondromyxoid fibromas (CMFs) are rare benign chondroid/myxoid matrix-producing tumors that occur in metaphyses of long tubular bones, and very rarely in small bones of hands and feet. Flat bone involvement is even more uncommon. Prior cytogenetic analyses have identified complex abnormalities involving chromosome 6 in the majority of cases. METHODS A search for CMF over an 8-year period (1999-2006) from the surgical pathology files of our institution yielded 16 cases. Four cases occurred in relatively unusual regions, three from the small bones of distal extremities and one from the rib. The rib lesion was submitted for routine cytogenetic analysis. RESULTS Radiographic studies revealed that all four lesions were well-defined expansile radiolucent lesions which expanded the bony cortices with lobulated margins, sclerotic rim, septation, and no calcification. Morphologically, all four lesions showed typical features of CMF and had low proliferative index with Ki-67. Cytogenetic analysis on the rib lesion revealed a novel chromosomal translocation, t(1;5)(p13;p13). None of the four patients had a recurrence after a mean duration of follow-up of 24 months. CONCLUSION CMF originating in unusual locations should be distinguished from chondrosarcomas, especially on small biopsies, and should be included in the differential diagnosis. As previously noted in the literature, the cells can be positive for actin but unlike conventional chondroid neoplasms can be negative for S-100. To our knowledge, this is the first report describing a novel chromosomal translocation, t(1;5)(p13;p13) in CMF.
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Affiliation(s)
- Henry B Armah
- Department of Pathology, Presbyterian-Shadyside Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
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Affiliation(s)
- Deep S Chatha
- Department of Radiology, New York University, Hospital for Joint Diseases, New York, NY 10003, USA.
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23
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Lemme SD, Kevin Raymond A, Cannon CP, Normand AN, Smith KC, Hughes DPM. Primary tuberculosis of bone mimicking a lytic bone tumor. J Pediatr Hematol Oncol 2007; 29:198-202. [PMID: 17356403 DOI: 10.1097/mph.0b013e31803b959f] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Causes of lytic bone lesions in children include benign, malignant, and infectious processes. Here, we present the case of a 3-year-old boy presenting with a lytic bone lesion and surrounding soft tissue mass sent for evaluation of possible malignancy versus osteomyelitis. Biopsy revealed granulomatous osteomyelitis, and subsequent purified protein derivative resulted in 20-mm induration. Lesion cultures eventually identified pan-sensitive Mycobacterium tuberculosis. We emphasize that tuberculosis can cause primary lytic bone lesions in children in the United States, even in the absence of pulmonary symptoms or known exposure, and advise clinicians to include mycobacterial cultures when analyzing biopsies of lytic bone lesions.
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Affiliation(s)
- Scott D Lemme
- University of Texas Health Science Center at Houston Medical School, Department of Pathology, The Children's Cancer Hospital at MD Anderson Cancer Center, Houston, TX 77030, USA
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Ayadi-Kaddour A, Saïji E, Fénniche S, Braham E, Ismail O, Djilani H, El Mezni F. Fibrome chondromyxoïde costal. ACTA ACUST UNITED AC 2007; 93:84-7. [PMID: 17389829 DOI: 10.1016/s0035-1040(07)90208-1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
Chondromyxoid fibroma is a rare benign bone tumor observed in less than 1% of all bone tumors. Pathological diagnosis remains difficult. All bone sites may be involved with a predominance of the metaphysis of long tubular bones, particularly the proximal tibia. The tumor has been rarely reported in ribs. We present of case of chondromyxoid fibroma observed in this unusual location in a 31-year-old woman. Routine chest x-ray and computed tomography revealed an expansive destructive mass with a lobulated contour which arose in the fourth left rib. Local resection was performed and the histological examination showed benign chondromyxoid fibroma. The clinical outcome was favorable without recurrence after 15 months follow-up.
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Affiliation(s)
- A Ayadi-Kaddour
- Service d'Anatomie et de Cytologie Pathologiques, Hôpital Abderrahmen-Mami, 2080 Ariana, Tunisie.
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Bucci T, Dell'Aversana Orabona G, Insabato L, Califano L. Chondromyxoid fibroma of the zygoma: a case report. Int J Oral Maxillofac Surg 2006; 35:569-71. [PMID: 16343851 DOI: 10.1016/j.ijom.2005.10.006] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2005] [Revised: 09/07/2005] [Accepted: 10/20/2005] [Indexed: 10/25/2022]
Abstract
Chondromyxoid fibroma is a rare benign tumour of chondral origin. It usually involves the long bones of the lower extremity, whilst involvement of craniofacial skeleton is extremely unusual. The second case of chondromyxoid fibroma of the zygoma described in literature is presented and the surgical resection of the lesion with tumour-free margins as the key factor for avoiding local recurrence of this tumour is emphasised.
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Affiliation(s)
- T Bucci
- Department of Oral and Maxillofacial Surgery, University of Naples Federico II, Via Pansini 5, 80100 Naples, Italy.
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Abstract
Chondromyxoid fibroma is an uncommon bone neoplasm, accounting in our series for less than 1% of all connective tissue tumors. The tumor is more common in males, and located mostly in the metaphyseal areas of the lower extremity. The tumor is benign and there have been no reports of metastases. The method of treatment that has been used since the initial identification of the tumor has been curettage, which has a 20-25% recurrence rate. In our 30 patients, the average length of followup was 11 years (range, 1-29 years. Most of the tumors were in the pelvis, proximal tibia, distal femur, and foot. Tumors that were treated with curettage alone did less well than those that were packed with allograft bone or polymethylmethacrylate. Tumors treated by excision did not recur. The most difficult problem with chondromyxoid fibroma is pathologic identity because it often is confused with more aggressive tumors that may metastasize.
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Affiliation(s)
- Ana Lersundi
- Orthopaedic Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA
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