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Desmoplastic fibroma of the tibia

review of the literature and case presentation of an unusual huge lesion

Abdel Rahman, Mohamed, MDa; Elgebeily, Mohamed, MDa; El Masry, Ayman Mohammad, MDa; Ishak, Shady Elia Anis, MDb

doi: 10.1097/BCO.0000000000000719
SPECIAL FOCUS: Tumor Review
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Desmoplastic fibroma is a benign, rare fibroblastic intraosseous neoplasm histologically resembling a desmoid soft-tissue tumor. Fewer than 300 such tumors have been reported in the literature worldwide. Radiographic differential diagnoses include tuberculosis, chondromyxoid fibroma, low-grade intramedullary osteosarcoma, and fibrosarcoma. Recurrence rate after curettage reaches up to 72%, thus en bloc resection with a wide margin of normal tissue is the treatment of choice. This article presents a case of an exceptionally large desmoplastic fibroma of the tibia, discussing the diagnosis and treatment as well as a review of the literature.

aOrthopaedic Surgery Department, Ain Shams University, Cairo, Egypt

bPathology Department, Cairo University, Cairo, Egypt

Financial Disclosure: The authors report no conflicts of interest.

Correspondence to Ayman Mohammad El Masry, MD, Lecturer of Orthopaedic Surgery, Ain Shams University, Ain Shams University School of Medicine, Abbassia Square, Cairo, Egypt 11566 Tel: +966-56-9256847; fax: +966148407000; e-mail: drsarcoma@gmail.com.

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