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Tibial Adamantinoma: A Case Report from a Resource-Limited-Setting
Yodit Abraham Yaynishet1, Shimalis Tadasa Fayisa2, Bereket Amare Dencha3
1Department of Radiology, Addis Ababa University, Addis Ababa, Ethiopia.
International Medical Case Reports Journal
|April 1, 2024
Summary
Adamantinoma, a rare bone tumor, often affects the tibia and presents diagnostic challenges. Early consideration in differential diagnosis is crucial for effective management, as demonstrated by a case requiring amputation.
Area of Science:
- Orthopedic Oncology
- Skeletal Radiology
- Surgical Pathology
Background:
- Adamantinoma is a rare, low-grade malignant bone tumor.
- It predominantly affects the tibia and presents diagnostic challenges due to nonspecific radiographic features.
Observation:
- A 55-year-old military personnel presented with a year of right leg swelling and pain.
- Radiological examination revealed a tibial lytic expansile lesion with internal trabeculations.
- Excisional biopsy confirmed adamantinoma.
Findings:
- The patient underwent below-knee amputation for definitive management.
- This case highlights the diagnostic difficulties associated with adamantinoma.
Implications:
- Emphasizes the importance of including adamantinoma in the differential diagnosis for persistent bone lesions.
- Highlights the need for prompt oncological referral and surgical intervention in suspected cases.

