Roberts Eric J, Meier Molly J, Hild Gina, Masadeh Suhail, Hardy Mark, Bakotic Bradley W
Hofstra North Shore Long Island Jewish School of Medicine/North Shore Long Island Jewish Health System-Forest Hills Hospital, Forest Hills, NY, USA.
J Foot Ankle Surg. 2013 Sep-Oct;52(5):643-9. doi: 10.1053/j.jfas.2013.02.014. Epub 2013 Apr 13.
Chondromyxoid fibroma occurs primarily in the long tubular bones of the lower extremity, with the foot representing the second most frequent location after the knee. This benign cartilaginous tumor of bone is currently the rarest reported neoplasm of cartilaginous origin. This mass can mimic other benign and malignant bone tumors owing to its variable histologic features. We report 2 cases of chondromyxoid fibroma of the calcaneus with varying presentations. Initially, advanced imaging studies pointed to a diagnosis of a unicameral bone cyst. Pathologic examination is difficult but can be used to differentiate this lesion from more serious conditions. A quick and accurate diagnosis of chondromyxoid fibroma can prevent unnecessary treatment that could be harmful to the patient.
软骨黏液样纤维瘤主要发生于下肢长管状骨,足部是仅次于膝关节的第二常见部位。这种骨的良性软骨肿瘤是目前报道的起源于软骨的最罕见肿瘤。由于其组织学特征多样,该肿物可模仿其他良性和恶性骨肿瘤。我们报告2例表现各异的跟骨软骨黏液样纤维瘤病例。最初,先进的影像学检查提示诊断为单房性骨囊肿。病理检查虽困难,但可用于将此病变与更严重的情况相鉴别。快速准确地诊断软骨黏液样纤维瘤可避免对患者可能有害的不必要治疗。