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[Fibroma chondromyxoides in two children--a case study]
1Oddział Ortopedyczno-Traumatologiczny, Katedra i Klinika Chirurgii Pediatrycznej, Uniwersytecki Szpital Dzieciecy, Wydział Lekarski Uniwersytetu Jagiellońskiego.
Chirurgia Narzadow Ruchu I Ortopedia Polska
|November 7, 2002
Summary
This study details two pediatric cases of chondromyxoid fibroma, a rare bone tumor. Successful surgical treatment and bone grafting were achieved in both cases, with one requiring revision surgery for recurrence.
Area of Science:
- Orthopaedic Surgery
- Pediatric Oncology
- Skeletal Tumors
Background:
- Chondromyxoid fibroma is a rare, benign bone tumor typically affecting long bones.
- Pediatric cases are exceptionally rare, with limited documented instances in Polish orthopaedic literature.
Observation:
- Two pediatric patients diagnosed with chondromyxoid fibroma presented with distinct clinical courses.
- The first case involved a recurrent tumor in the first metatarsal bone of a 13-year-old boy, treated with repeat curettage and autogenous bone grafting.
- The second case, a 9-year-old child, had a tumor in the proximal phalanx of the thumb, complicated by tumor transplantation to the donor bone graft site.
Findings:
- The first patient showed no recurrence after 7 years of follow-up, with complete bone graft remodeling.
- The second patient experienced recurrence two years post-initial surgery, necessitating further resection and fibular graft implantation.
- Both patients remained recurrence-free at 2.5 years after the final surgical intervention.
Implications:
- Aggressive surgical management, including complete resection and reconstruction with autogenous bone grafts, can yield favorable outcomes for pediatric chondromyxoid fibroma.
- Careful surgical technique is crucial to prevent complications such as tumor transplantation.
- Long-term follow-up is essential for monitoring recurrence in these rare pediatric skeletal tumors.