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Fibrocartilaginous Intramedullary Bone Forming Tumor of the Distal Femur Mimicking Osteosarcoma

Authors
Song, Sang-HeonLee, HannaSong, Hae-RyongKim, Myo-JongPark, Jong-Hoon
Issue Date
4월-2013
Publisher
KOREAN ACAD MEDICAL SCIENCES
Keywords
Fibrocartilaginous Dysplasia; Osteosarcoma; Orthopaedic Oncologist; Diagnosis
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v.28, no.4, pp.631 - 635
Indexed
SCIE
SCOPUS
KCI
Journal Title
JOURNAL OF KOREAN MEDICAL SCIENCE
Volume
28
Number
4
Start Page
631
End Page
635
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/103632
DOI
10.3346/jkms.2013.28.4.631
ISSN
1011-8934
Abstract
Fibrocartilaginous dysplasia (FCD) has occasionally led to a misdiagnosis and wrong decision which can significantly alter the outcome of the patients. A 9-yr-old boy presented with pain on his left distal thigh for 6 months without any trauma history. Initial radiographs showed moth eaten both osteolytic and osteosclerotic lesions and biopsy findings showed that the lesion revealed many irregular shaped and sclerotic mature and immature bony trabeculae. Initial diagnostic suggestions were varied from the conventional osteosarcoma to low grade central osteosarcoma or benign intramedullary bone forming lesion, but close observation was done. This study demonstrated a case of unusual fibrocartilaginous intramedullary bone forming tumor mimicking osteosarcoma, so that possible misdiagnosis might be made and unnecessary extensive surgical treatment could be performed. In conclusion, the role of orthopaedic oncologist as a decision maker is very important when the diagnosis is uncertain.
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