An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report
Background and purpose: 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...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2023-12-01
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| Series: | Bone Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352187223000670 |
| _version_ | 1797398585887686656 |
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| author | Walid Bouaicha Mohamed Jlidi Salwa Nechi Mouldi Lammouchi Siwar Sbaihi Selim Daas |
| author_facet | Walid Bouaicha Mohamed Jlidi Salwa Nechi Mouldi Lammouchi Siwar Sbaihi Selim Daas |
| author_sort | Walid Bouaicha |
| collection | DOAJ |
| description | Background and purpose: 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. Case presentation: 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. Conclusion: 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. |
| first_indexed | 2024-03-09T01:27:40Z |
| format | Article |
| id | doaj.art-b618d23638604199855e2ce2a5e04165 |
| institution | Directory Open Access Journal |
| issn | 2352-1872 |
| language | English |
| last_indexed | 2024-03-09T01:27:40Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Bone Reports |
| spelling | doaj.art-b618d23638604199855e2ce2a5e041652023-12-10T06:16:22ZengElsevierBone Reports2352-18722023-12-0119101721An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case reportWalid Bouaicha0Mohamed Jlidi1Salwa Nechi2Mouldi Lammouchi3Siwar Sbaihi4Selim Daas5Orthopaedics and Trauma department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, Tunisia; Corresponding author at: Mohamed Taher Maamouri Hospital, Mrezga 8000, Nabeul, Tunisia.Orthopaedics and Trauma department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, TunisiaHistopathology department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, TunisiaOrthopaedics and Trauma department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, TunisiaRadiology department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, TunisiaOrthopaedics and Trauma department, M.T.M Hospital, Nabeul, Tunisia; University of Tunis el Manar, Faculty of Medicine of Tunis, TunisiaBackground and purpose: 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. Case presentation: 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. Conclusion: 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.http://www.sciencedirect.com/science/article/pii/S2352187223000670Non-ossifying fibromaMultipleAggressiveSurgeryExternal fixation |
| spellingShingle | Walid Bouaicha Mohamed Jlidi Salwa Nechi Mouldi Lammouchi Siwar Sbaihi Selim Daas An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report Bone Reports Non-ossifying fibroma Multiple Aggressive Surgery External fixation |
| title | An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report |
| title_full | An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report |
| title_fullStr | An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report |
| title_full_unstemmed | An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report |
| title_short | An unusually aggressive multiple non-ossifying fibroma of the distal tibia and fibula: A case report |
| title_sort | unusually aggressive multiple non ossifying fibroma of the distal tibia and fibula a case report |
| topic | Non-ossifying fibroma Multiple Aggressive Surgery External fixation |
| url | http://www.sciencedirect.com/science/article/pii/S2352187223000670 |
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