Chondromyxoid fibroma
Contents:
Description:
Chondromyxoid fibroma very seldom found hryashcheobrazuyushchy tumor allocated in an independent form in 1948 to Jaffe and Lichtenstein. The tumor is inclined to a frequent recurrence and in certain cases an ozlokachestvleniye.
Symptoms of Chondromyxoid fibroma:
Chondromyxoid fibroma is localized in metaphyses or a metadiaphysis of long tubular bones, preferential near a knee joint. Also chondromyxoid fibromas of ossicles of a brush and feet, pelvic bones are described.
The clinical picture of chondromyxoid fibroma depends on age of patients. Progressive strengthening of pains, rapid growth of a tumor, restriction of movements in a nearby joint, the accruing muscular atrophy, a local hyperthermia are characteristic of children's age.
The X-ray pattern is presented in the form of the center of destruction reaching in length of 4-5, 6-8 cm. Sometimes the center of destruction is surrounded with a sclerous rim, against the background of the center of destruction the trabecular drawing and impregnations of lime can be traced. At subperiosteal localization of the center the uzuration of a cortical layer comes to light, the tumor goes beyond a bone. Periosteal reaction is not typical.
The greatest difficulties arise at differentiation of a benign cartilaginous tumor from malignant. Jaffe notes that for the diagnosis of chondromyxoid fibroma it is necessary to use "sixth sense", connecting the minimum impressions in a single whole. Judging by data of literature, diagnostic mistakes are made and now towards hyper diagnosis of sarcomas. All cases have to be verified morphologically.
Chondromyxoid fibroma of tibial bones
Reasons of Chondromyxoid fibroma:
Etiological factors remain unknown.
Treatment of Chondromyxoid fibroma:
Treatment of chondromyxoid fibroma - only surgical intervention. Method of the choice is the tumor resection within healthy tissues of a bone with defect plastics.
