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Subperiosteal chondromyxoid fibroma: a rare case involving the humeral diaphysis
- Source :
- Skeletal Radiology. 50:597-602
- Publication Year :
- 2020
- Publisher :
- Springer Science and Business Media LLC, 2020.
-
Abstract
- Initially described, in 1948, as a tumor that could be mistaken with chondrosarcoma at histopathology, chondromyxoid fibroma is now a well-recognized entity. Surface-type chondromyxoid fibroma, however, remains an extremely rare occurrence. We present a case of a 55-year-old woman, who experienced right arm pain for 5 years. After unsuccessful treatment for presumed thoracic outlet syndrome, MRI revealed a large mass abutting the anteromedial cortex of the distal humeral diaphysis in a subperiosteal location. Further characterization was made with radiography, CT, and bone scan, which were followed by ultrasound-guided biopsy. Although histopathologic features were suggestive of chondromyxoid fibroma, the diagnosis remained somewhat uncertain initially due to the very unusual location involving the diaphysis of the humerus. Surgical resection was performed, and subsequent histopathologic analysis confirmed the diagnosis of chondromyxoid fibroma. Despite being a rare entity, surface-type chondromyxoid fibroma would need to be considered in the differential when dealing with expansile surface diaphyseal lesions.
- Subjects :
- 030203 arthritis & rheumatology
medicine.medical_specialty
medicine.diagnostic_test
business.industry
Radiography
Chondromyxoid fibroma
medicine.disease
030218 nuclear medicine & medical imaging
stomatognathic diseases
03 medical and health sciences
Diaphysis
0302 clinical medicine
medicine.anatomical_structure
Biopsy
medicine
Radiology, Nuclear Medicine and imaging
Histopathology
Humerus
Radiology
Chondrosarcoma
business
Thoracic outlet syndrome
Subjects
Details
- ISSN :
- 14322161 and 03642348
- Volume :
- 50
- Database :
- OpenAIRE
- Journal :
- Skeletal Radiology
- Accession number :
- edsair.doi...........5e339d4e1cfa10d94707215b1a23c2f5