Solitary intraosseous myofibroma of the tibia in an adult patient: A case report

Myofibromas are mesenchymal tumors showing myofibroblastic differentiation and found most frequently in the head and neck region. While several cases of myofibromas have been reported in adults, they have not been described in long bones of the appendicular skeleton. We describe an otherwise healthy...

Full description

Bibliographic Details
Main Authors: S. Shemesh, Y. Kosashvili, E. Sidon, S. Fichman, N. Cohen, S. Velkes
Format: Article
Language:English
Published: Elsevier 2014-11-01
Series:Journal of Bone Oncology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2212137414200005
_version_ 1818562274538815488
author S. Shemesh
Y. Kosashvili
E. Sidon
S. Fichman
N. Cohen
S. Velkes
author_facet S. Shemesh
Y. Kosashvili
E. Sidon
S. Fichman
N. Cohen
S. Velkes
author_sort S. Shemesh
collection DOAJ
description Myofibromas are mesenchymal tumors showing myofibroblastic differentiation and found most frequently in the head and neck region. While several cases of myofibromas have been reported in adults, they have not been described in long bones of the appendicular skeleton. We describe an otherwise healthy young woman who presented with a progressive incapacitating pain in her right shin. Imaging studies revealed a well-circumscribed osteolytic lesion with slight marginal sclerosis confined to the proximal tibia metaphysis, without a soft tissue component. Surgical intervention was performed and histological examination identified a myofibroma. This case represents an extremely rare occurrence of an intraosseous myofibroma involving a long bone in an adult patient. Although solitary myofibroma is a rare lesion in the skeletal bones of adults we believe it should be included in the differential diagnosis of a solitary lytic mass in bone, especially if it is associated with pain.
first_indexed 2024-12-14T01:01:33Z
format Article
id doaj.art-66081787b91e4c0da3d0ae065da4ea88
institution Directory Open Access Journal
issn 2212-1374
language English
last_indexed 2024-12-14T01:01:33Z
publishDate 2014-11-01
publisher Elsevier
record_format Article
series Journal of Bone Oncology
spelling doaj.art-66081787b91e4c0da3d0ae065da4ea882022-12-21T23:23:14ZengElsevierJournal of Bone Oncology2212-13742014-11-0133808310.1016/j.jbo.2014.06.002Solitary intraosseous myofibroma of the tibia in an adult patient: A case reportS. Shemesh0Y. Kosashvili1E. Sidon2S. Fichman3N. Cohen4S. Velkes5Departments of Orthopedics, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartments of Orthopedics, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartments of Orthopedics, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartments of Pathology, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartments of Orthopedics, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelDepartments of Orthopedics, Rabin Medical Center, Petach Tikva 49100 and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv 69978, IsraelMyofibromas are mesenchymal tumors showing myofibroblastic differentiation and found most frequently in the head and neck region. While several cases of myofibromas have been reported in adults, they have not been described in long bones of the appendicular skeleton. We describe an otherwise healthy young woman who presented with a progressive incapacitating pain in her right shin. Imaging studies revealed a well-circumscribed osteolytic lesion with slight marginal sclerosis confined to the proximal tibia metaphysis, without a soft tissue component. Surgical intervention was performed and histological examination identified a myofibroma. This case represents an extremely rare occurrence of an intraosseous myofibroma involving a long bone in an adult patient. Although solitary myofibroma is a rare lesion in the skeletal bones of adults we believe it should be included in the differential diagnosis of a solitary lytic mass in bone, especially if it is associated with pain.http://www.sciencedirect.com/science/article/pii/S2212137414200005MyofibromaIntraosseousTibiaAdult
spellingShingle S. Shemesh
Y. Kosashvili
E. Sidon
S. Fichman
N. Cohen
S. Velkes
Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
Journal of Bone Oncology
Myofibroma
Intraosseous
Tibia
Adult
title Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
title_full Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
title_fullStr Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
title_full_unstemmed Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
title_short Solitary intraosseous myofibroma of the tibia in an adult patient: A case report
title_sort solitary intraosseous myofibroma of the tibia in an adult patient a case report
topic Myofibroma
Intraosseous
Tibia
Adult
url http://www.sciencedirect.com/science/article/pii/S2212137414200005
work_keys_str_mv AT sshemesh solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport
AT ykosashvili solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport
AT esidon solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport
AT sfichman solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport
AT ncohen solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport
AT svelkes solitaryintraosseousmyofibromaofthetibiainanadultpatientacasereport