关键词: Aggressive External fixation Multiple Non-ossifying fibroma Surgery

来  源:   DOI:10.1016/j.bonr.2023.101721   PDF(Pubmed)

Abstract:
UNASSIGNED: Non-ossifying fibroma (NOF) is one of the most commonly seen benign bone tumours. Although renowned for their benign behaviour and tendency for spontaneous healing, these tumours can occasionally exhibit an aggressive course. Few published papers have focused on the treatment options of symptomatic NOFs.The aim of this case report is to discuss the clinical presentation of a painful and unusually aggressive multiple NOF of the distal tibia in a female adolescent patient.
UNASSIGNED: The case of a 17-year-old female patient who was complaining of a painful swollen right lower leg for the past few months. The symptoms became gradually worse, preventing her from sporting activities and becoming more and more debilitating. The patient was diagnosed with a particularly aggressive multiple non-ossifying fibroma of the distal tibia and fibula. She was treated with lesion curettage, bone grafting and external fixation with good clinical and radiological outcomes.
UNASSIGNED: Non-ossifying fibroma is a benign lesion that only requires observation in most of the cases. However, symptomatic lesions with aggressive behaviour or complicated with pathologic fracture may warrant surgical intervention.
摘要:
非骨化性纤维瘤(NOF)是最常见的良性骨肿瘤之一。尽管以其良性行为和自发愈合的趋势而闻名,这些肿瘤偶尔会表现出侵袭性的过程。很少有发表的论文集中在有症状的NOF的治疗选择上。本病例报告的目的是讨论一名女性青少年患者胫骨远端疼痛且异常侵袭性多发性NOF的临床表现。
一名17岁的女性患者在过去几个月里一直抱怨右小腿肿胀疼痛。症状逐渐加重,阻止她参加体育活动,变得越来越虚弱。患者被诊断为胫骨和腓骨远端的特别侵袭性的多发性非骨化性纤维瘤。她接受了病灶刮治,植骨和外固定支架具有良好的临床和放射学结果。
非骨化性纤维瘤是一种良性病变,仅在大多数情况下需要观察。然而,有攻击行为或并发病理性骨折的症状性病变可能需要手术干预。
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