Desmoplastic fibroma ? a rare tumour in a rare site

INTRODUCTIONThe desmoplastic fibroma is a rare locally invasive bone tumour. Surgical resection with minimal margins is recommended.PRESENTATION OF CASEA 15 year-old boy was referred with chronic left thigh pain. MRI revealed a bone lesion within the cavity of the inner table of the left iliac wing without invasion of the underlying bone marrow. A surgical biopsy revealed a desmoplastic bone fibroma. A partial resection of the inner table of the iliac wing sparing the outer table was performed. At the latest follow-up the initially spared iliac wing had needed further resection. The reason proposed for this is devascularisation by substantial periosteal stripping causing partial resorption initially, then necrosis and ultimately ulceration through the skin necessitating further surgical resection.DISCUSSIONThe technique of resection of a pelvic desmoplastic fibroma sparing the outer table of the iliac wing has not previously been reported. The objective of a limited resection was to minimize the risk of a postsurgical limp caused by weakness of the gluteus medius muscle. However we report that this technique did not work in this case. A wider resection of the iliac wing as it is recommended for a malignant tumour would have yielded a similar final outcome.CONCLUSIONA partial resection of the iliac wing seemed an appealing technique for a benign tumour of the inner table of the iliac wing. However, considering the complications encountered, the authors advise a simple “en bloc” resection of the iliac wing for this type of tumour in this location.

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Desmoplastic Fibroma Arising in the Distal Phalanx of the Great Toe: A Case Report

Koba

Susa

Nakayama

et al. 2014

The Journal of Foot and Ankle Surgery

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Desmoplastic fibroma ? a rare tumour in a rare site

Abstract: We report the occurence of a desmoplastic fibroma in the terminal phalanx of the big toe in a 42-year-old male. The tumour is rare, only 66 cases have been reported in the English language journals. The case history together with review of the literature is presented.

Cited by 3 publications

References 16 publications

A rare tumour in a rare location: Desmoplastic fibroma in a toe

A rare tumour in a rare location: Desmoplastic fibroma in a toe

Desmoplastic fibroma of the ilium

Desmoplastic Fibroma Arising in the Distal Phalanx of the Great Toe: A Case Report

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