Desmoplastic fibroma of the distal tibia: A case report of a minimally invasive histological diagnosis

Levrini,Gabriele; Pattacini,Pierpaolo

doi:10.3892/mco.2016.1022

Desmoplastic fibroma of the distal tibia: A case report of a minimally invasive histological diagnosis

Authors:
- Gabriele Levrini
- Pierpaolo Pattacini
View Affiliations

Affiliations: Department of Diagnostic Imaging, Arcispedale Santa Maria Nuova‑IRCCS, I‑42100 Reggio Emilia, Italy
Published online on: September 19, 2016 https://doi.org/10.3892/mco.2016.1022
Pages: 537-539
Copyright: © Levrini et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )

Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )

Cited By (CrossRef): 0 citations Loading Articles...

Abstract

Desmoplastic fibroma (DF) is a benign, rare fibroblastic intraosseous neoplasm histologically resembling a desmoid soft tissue tumor. Although classified as benign, DF frequently exhibits an aggressive behavior, has a moderate‑to‑high recurrence rate, and often causes pathological fractures and extensive bone destruction. This case report presents an incidentally detected DF of the tibia, which was diagnosed using a minimally invasive approach. A 36‑year‑old African female patient was referred to the Department of Diagnostic Imaging of Arcispedale Santa Maria Nuova‑IRCCS (Reggio Emilia, Italy), to be examined by a computed tomography scan on an outpatient basis, after an x‑ray examination of the tibia, which was performed after an injury to exclude the presence of a fracture, revealed a hyperlucency of unknown origin. The aim of this study was to discuss the clinical, histological, immunohistochemical and radiographic characteristics of this rare neoplasm, with a focus on image‑guided bone biopsy.

View Figures

View References

1	Böhm P, Kröber S, Greschniok A, Laniado M and Kaiserling E: Desmoplastic fibroma of the bone. A report of two patients, review of the literature, and therapeutic implications. Cancer. 78:1011–1023. 1996. View Article : Google Scholar : PubMed/NCBI
2	Fletcher CDM, Uni KK and Mertens F: Pathology and genetics of tumors of soft tissue and boneWHO classification of tumors. IARC Press; Lyon: pp. 2882002
3	Said-Al-Naief N, Fernandes R, Louis P, Bell W and Siegal GP: Desmoplastic fibroma of the jaw: A case report and review of literature. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 101:82–94. 2006. View Article : Google Scholar : PubMed/NCBI
4	Rabin D, Ang LC, Megyesi J, Lee DH and Duggal N: Desmoplastic fibroma of the cranium: Case report and review of the literature. Neurosurgery. 52:950–954; discussion 954. 2003. View Article : Google Scholar : PubMed/NCBI
5	Ikeshima A and Utsunomiya T: Case report of intra-osseous fibroma: A study on odontogenic and desmoplastic fibromas with a review of the literature. J Oral Sci. 47:149–157. 2005. View Article : Google Scholar : PubMed/NCBI
6	Crim JR, Gold RH, Mirra JM, Eckardt JJ and Bassett LW: Desmoplastic fibroma of bone: Radiographic analysis. Radiology. 172:827–832. 1989. View Article : Google Scholar : PubMed/NCBI
7	Hauben E and Cleton-Jansen AM: Fibrogenic tumours: Desmoplastic fibroma of boneWHO Classification of Tumours of Soft Tissue and Bone. Fletcher CDM, Bridge JA, Hogendoorn P and Mertens F: 4th. IARC; Lyon: pp. 2982013
8	Jaffe HL: Tumors and tumorous conditions of the bones and jointsThe American Journal of the Medical Sciences. Lea & Febiger; Philadelphia: 1958
9	Lichtman EA and Klein MJ: Case report 302. Desmoplastic fibroma of the proximal end of the left femur. Skeletal Radiol. 13:160–163. 1985. View Article : Google Scholar : PubMed/NCBI
10	Wadhwa V, Suh KJ, Yi JH and Chhabra A: Incidental lesion in the femoral metaphysis. Desmoplastic fibroma of the bone. Skeletal Radiol. 42:1739–1740, 1775–1776. 2013. View Article : Google Scholar
11	Clayer M and Oakeshott R: Allograft bone in the treatment of desmoplastic fibroma. A case report. Clin Orthop Relat Res. 219–224. 1994.PubMed/NCBI
12	Rastogi S, Varshney MK, Trikha V, Khan SA and Mittal R: Desmoplastic fibroma: A report of three cases at unusual locations. Joint Bone Spine. 75:222–225. 2008. View Article : Google Scholar : PubMed/NCBI
13	Chan KW, Pun WK and Choi CH: Desmoplastic fibroma of bone. Pathology. 19:201–203. 1987. View Article : Google Scholar : PubMed/NCBI
14	Grube-Pagola P and Valle-Landa JC: Desmoplastic fibroma of the femur. Radiologia. 55:359–361. 2013.(In Spanish). View Article : Google Scholar : PubMed/NCBI
15	Doya H and Yaoita M: Case of desmoplastic fibroma in the femur. Seikei Geka. 17:754–756. 1966.(In Japanese). PubMed/NCBI
16	Matsumori S, Watabe E, Toyoshima Y and Yagi Y: Primary desmoplastic fibroma of the femur. Seikei Geka. 23:275–281. 1972.(In Japanese). PubMed/NCBI
17	Bertoni F, Calderoni P, Bacchini P and Campanacci M: Desmoplastic fibroma of bone. A report of six cases. J Bone Joint Surg Br. 66:265–268. 1984.PubMed/NCBI
18	Petrovichev NN, Filippova NA, Annamukhammedov A and Karapetian RM: Case of desmoplastic fibroma of the femur. Arkh Patol. 47:55–58. 1985.(In Russian). PubMed/NCBI
19	Nielsen GP, O'Connell JX, Dickersin GR and Rosenberg AE: Collagenous fibroma (desmoplastic fibroblastoma): A report of seven cases. Mod Pathol. 9:781–785. 1996.PubMed/NCBI
20	Gao S, Cai Q, Yao W, Wang J, Zhang P and Wang X: Desmoplastic (collagenous) fibroma of the femur: A case report and review of the literature. Oncol Lett. 6:1285–1288. 2013.PubMed/NCBI
21	Yokouchi M, Ueno Y, Nagano S, Shimada H, Nakamura S, Setoguchi T, Kawamura I, Ishidou Y and Komiya S: Extended curettage and heat ablation for desmoplastic fibroma of the distal femur with a 12-year follow-up period: A case report. Oncol Lett. 8:1103–1106. 2014.PubMed/NCBI
22	Fraser-Hill MA and Renfrew DL: Percutaneous needle biopsy of musculoskeletal lesions. 1. Effective accuracy and diagnostic utility. AJR Am J Roentgenol. 158:809–812. 1992. View Article : Google Scholar : PubMed/NCBI
23	Dupuy DE, Rosenberg AE, Punyaratabandu T, Han MH and Mankin HJ: Accuracy of CT-guided needle biopsy of musculoskeletal neoplasms. AJR Am J Roentgenol. 171:759–762. 1998. View Article : Google Scholar : PubMed/NCBI
24	Mankin HJ, Mankin CJ and Simon MA: The hazards of biopsy, revisited. Members of the musculoskeletal tumor society. J Bone Joint Surg Am. 78:656–663. 1996.PubMed/NCBI
25	Altuntas AO, Slavin J, Smith PJ, Schlict SM, Powell GJ, Ngan S, Toner G and Choong PF: Accuracy of computed tomography guided core needle biopsy of musculoskeletal tumours. ANZ J Surg. 75:187–191. 2005. View Article : Google Scholar : PubMed/NCBI
26	Rimondi E, Rossi G, Bartalena T, Ciminari R, Alberghini A, Ruggieri P, Errani C, Angelini A, Calabrò T, Abati CN, et al: Percutaneous CT-guide biopsy of the musculoskeletal system: Results of 2027 cases. Eur J Radiol. 77:34–42. 2011. View Article : Google Scholar : PubMed/NCBI
27	Jelinek JS, Murphey MD, Welker JA, Henshaw RM, Kransdorf MJ, Shmookler BM and Malawer MM: Diagnosis of primary bone tumors with image-guided percutaneous biopsy: Experience with 110 tumors. Radiology. 223:731–737. 2002. View Article : Google Scholar : PubMed/NCBI
28	Leffler SG and Chew FS: CT-guided percutaneous biopsy of sclerotic bone lesions: Diagnostic yield and accuracy. AJR. 172:1389–1392. 1999. View Article : Google Scholar : PubMed/NCBI
29	Ashford RU, McCarthy SW, Scolyer RA, Bonar SF, Karim RZ and Stalley PD: Surgical biopsy with intraoperative frozen section. An accurate and cost-effective method for diagnosis of musculoskeletal sarcomas. J Bone Joint Surg Br. 88:1207–1211. 2006. View Article : Google Scholar : PubMed/NCBI
30	Hau A, Kim I, Kattapuram S, Hornicek FJ, Rosenberg AE, Gebhardt MC and Mankin HJ: Accuracy of CT-guided biopsies in 359 patients with musculoskeletal lesions. Skeletal Radiol. 31:349–353. 2002. View Article : Google Scholar : PubMed/NCBI
31	Welker JA, Henshaw RM, Jelinek J, Shmookler BM and Malawer MM: The percutaneous needle biopsy is safe and recommended in the diagnosis of musculoskeletal masses. Cancer. 89:2677–2686. 2000. View Article : Google Scholar : PubMed/NCBI
32	Anderson MW, Temple HT, Dussault RG and Kaplan PA: Compartmental anatomy: Relevance to staging and biopsy of musculoskeletal tumors. AJR Am J Roentgenol. 173:1663–1671. 1999. View Article : Google Scholar : PubMed/NCBI
33	Roberts CC, Morrison WB, Leslie KO, Carrino JA, Lozevski JL and Liu PT: Assessment of bone biopsy needles for sample size, specimen quality and ease of use. Skeletal Radiol. 34:329–335. 2005. View Article : Google Scholar : PubMed/NCBI