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Desmoplastic fibroma of the ilium()

INTRODUCTION: The desmoplastic fibroma is a rare locally invasive bone tumour. Surgical resection with minimal margins is recommended. PRESENTATION OF CASE: A 15 year-old boy was referred with chronic left thigh pain. MRI revealed a bone lesion within the cavity of the inner table of the left iliac...

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Autores principales: Rouchy, René-Christopher, Courvoisier, Aurélien, Wimsey, Simon, Bourgeois, Emeline, Burroni, Barbara, Griffet, Jacques
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785859/
https://www.ncbi.nlm.nih.gov/pubmed/23973899
http://dx.doi.org/10.1016/j.ijscr.2013.06.016
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author Rouchy, René-Christopher
Courvoisier, Aurélien
Wimsey, Simon
Bourgeois, Emeline
Burroni, Barbara
Griffet, Jacques
author_facet Rouchy, René-Christopher
Courvoisier, Aurélien
Wimsey, Simon
Bourgeois, Emeline
Burroni, Barbara
Griffet, Jacques
author_sort Rouchy, René-Christopher
collection PubMed
description INTRODUCTION: The desmoplastic fibroma is a rare locally invasive bone tumour. Surgical resection with minimal margins is recommended. PRESENTATION OF CASE: A 15 year-old boy was referred with chronic left thigh pain. MRI revealed a bone lesion within the cavity of the inner table of the left iliac wing without invasion of the underlying bone marrow. A surgical biopsy revealed a desmoplastic bone fibroma. A partial resection of the inner table of the iliac wing sparing the outer table was performed. At the latest follow-up the initially spared iliac wing had needed further resection. The reason proposed for this is devascularisation by substantial periosteal stripping causing partial resorption initially, then necrosis and ultimately ulceration through the skin necessitating further surgical resection. DISCUSSION: The technique of resection of a pelvic desmoplastic fibroma sparing the outer table of the iliac wing has not previously been reported. The objective of a limited resection was to minimize the risk of a postsurgical limp caused by weakness of the gluteus medius muscle. However we report that this technique did not work in this case. A wider resection of the iliac wing as it is recommended for a malignant tumour would have yielded a similar final outcome. CONCLUSION: A partial resection of the iliac wing seemed an appealing technique for a benign tumour of the inner table of the iliac wing. However, considering the complications encountered, the authors advise a simple “en bloc” resection of the iliac wing for this type of tumour in this location.
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spelling pubmed-37858592013-10-23 Desmoplastic fibroma of the ilium() Rouchy, René-Christopher Courvoisier, Aurélien Wimsey, Simon Bourgeois, Emeline Burroni, Barbara Griffet, Jacques Int J Surg Case Rep Case Report INTRODUCTION: The desmoplastic fibroma is a rare locally invasive bone tumour. Surgical resection with minimal margins is recommended. PRESENTATION OF CASE: A 15 year-old boy was referred with chronic left thigh pain. MRI revealed a bone lesion within the cavity of the inner table of the left iliac wing without invasion of the underlying bone marrow. A surgical biopsy revealed a desmoplastic bone fibroma. A partial resection of the inner table of the iliac wing sparing the outer table was performed. At the latest follow-up the initially spared iliac wing had needed further resection. The reason proposed for this is devascularisation by substantial periosteal stripping causing partial resorption initially, then necrosis and ultimately ulceration through the skin necessitating further surgical resection. DISCUSSION: The technique of resection of a pelvic desmoplastic fibroma sparing the outer table of the iliac wing has not previously been reported. The objective of a limited resection was to minimize the risk of a postsurgical limp caused by weakness of the gluteus medius muscle. However we report that this technique did not work in this case. A wider resection of the iliac wing as it is recommended for a malignant tumour would have yielded a similar final outcome. CONCLUSION: A partial resection of the iliac wing seemed an appealing technique for a benign tumour of the inner table of the iliac wing. However, considering the complications encountered, the authors advise a simple “en bloc” resection of the iliac wing for this type of tumour in this location. Elsevier 2013-07-17 /pmc/articles/PMC3785859/ /pubmed/23973899 http://dx.doi.org/10.1016/j.ijscr.2013.06.016 Text en © 2013 The Authors http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-No Derivative Works License, which permits non-commercial use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Case Report
Rouchy, René-Christopher
Courvoisier, Aurélien
Wimsey, Simon
Bourgeois, Emeline
Burroni, Barbara
Griffet, Jacques
Desmoplastic fibroma of the ilium()
title Desmoplastic fibroma of the ilium()
title_full Desmoplastic fibroma of the ilium()
title_fullStr Desmoplastic fibroma of the ilium()
title_full_unstemmed Desmoplastic fibroma of the ilium()
title_short Desmoplastic fibroma of the ilium()
title_sort desmoplastic fibroma of the ilium()
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3785859/
https://www.ncbi.nlm.nih.gov/pubmed/23973899
http://dx.doi.org/10.1016/j.ijscr.2013.06.016
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