Adamantinoma of the Tibia: A Case Report - PubMed
Case Reports
Adamantinoma of the Tibia: A Case Report
Michel N Anoumou et al. J Orthop Case Rep. 2014 Jan-Mar.
Abstract
Introduction: Adamantinoma is a bone tumor which is commonly showed in mandible. Its occurrence in long bones constitutes a rare affection and a difficult histological diagnosis This rare malignant tumor of mesenchymal and epithelial origin was discovered in the tibia of a male patient.
Case report: The authors report a case of adamantinoma of the tibia in a 36- years old. He presented with slowly progressing leg swelling that evolved over 2 years without significant clinical manifestation. Complementary examination and investigation did not help in differential diagnosis and confirmation was only possible after histological examination. There was increase in size of lesion with increased pain and patie3nt presented with pathological fracture. Local extension of the tumor indicated an amputation of leg. The histological exam of the amputation specimen confirmed the results of the initial biopsy by showing cells tumorales in favour of an adamantinoma. After a good medium-term follow up, the patient died secondary to lung metastases. The authors discuss their method of diagnosis and therapeutics in front of such tumor.
Conclusion: Adamantinoma is characterized by a slow clinical development marked by the prevalence of lung metastases and local recurrences. After the diagnosis, there must be a complete and sufficient surgery to avoid a local recurrence or metastasis.
Keywords: Adamantinoma; Tibia; Tumor.
Conflict of interest statement
Conflict of Interest: Nil
Figures
Bone scan of bilateral tibae demonstrates focal increased radiotracer uptake along the medial aspect of the left tibia at the concavity of the curve.
CT Scan of the leg: confirmation of cortical lysiswithtumor infiltrationof the soft tissues.
Radiograph of the leg. Third month after biopsy: Note the worsening cortical lysis with apathological fracture of the tibia.
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