Desmoplastic fibroma in the proximal femur: A case report with long-term follow‑up

Gong,Yu‑Bao; Qu,Li‑Mei; Qi,Xin; Liu,Jian‑Guo

doi:10.3892/ol.2015.3603

Desmoplastic fibroma in the proximal femur: A case report with long-term follow‑up

Authors:
- Yu‑Bao Gong
- Li‑Mei Qu
- Xin Qi
- Jian‑Guo Liu
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Affiliations: Department of Bone and Joint Surgery, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China, Department of Pathology, The First Hospital of Jilin University, Changchun, Jilin 130021, P.R. China
Published online on: August 12, 2015 https://doi.org/10.3892/ol.2015.3603
Pages: 2465-2467

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Abstract

Desmoplastic fibroma of the bone is an extremely rare primary benign tumor. The present study reports a case of desmoplastic fibroma of the bone with the longest published follow‑up. A 21‑year‑old female presented to The First Hospital of Jilin University (Changchun, Jilin, China) with thigh pain. Radiography demonstrated a lytic expansile lesion in the proximal femur. Curettage was performed, followed by use of an allogeneic graft. One month later, the patient suffered a pathological fracture and was treated with an open reduction and internal fixation. There was no recurrence of the tumor over a 28‑year follow‑up period. In conclusion, desmoplastic fibroma in the proximal femur is rare and an intralesional resection is strongly recommended to prevent recurrence. The disease may be misdiagnosed as a bone cyst, so the diagnosis should be confirmed with a histological examination.

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