Desmoplastic fibroma of the ulna
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 3
Abstract
Introduction Desmoplastic fibroma is an extremely rare locally aggressive benign bone tumour with incidence of 01 of primary bone tumorsIt is composed of spindle cells with minimal cytological atypia and abundant collagenDiagnosis is made on radiology and histopathologyCase Summary A 17yr female patient presented with pain and swelling in left forearm since 9yrs slowly progressive in nature Radiograph showed an osteolytic lesion of the proximal ulna Enbloc excision was done Grossly the tumor was 13x6x25cm hard in consistency with greywhite mass on cut section Microscopically it was composed of spindle shaped cells with elongated bland appearing nuclei arranged in whorled pattern and fascicles with abundant collagen present between spindle cells No pleomorphism or mitoses were notedConclusion Desmpoplastic fibroma is a very rare locally aggressive benign neoplasm of bone The diagnosis and management are often difficult and requires a combined speciality approachKeywords Desmoplastic fibroma Ulna Bone tumor Spindel cell Collagen
Authors and Affiliations
Saara Neeha, Sainath K Andola, Anita A Mahanta
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