Goyal Tarun, Rastogi Shishir, Tripathy Sujit K
Department of Orthopaedics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Orthop. 2013 Mar;47(2):207-10. doi: 10.4103/0019-5413.108928.
Desmoplastic fibroma is a rare, well differentiated, locally aggressive fibrous tumor usually arising from soft tissues, and rarely from bones. Involvement of forearm bones is extremely unusual. We present a large desmoplastic fibroma of right ulna in a 15-year-old male. The tumor was excised with a wide margin, and the bony defect was reconstructed with nonvascular autologous fibular graft. Reconstruction of the olecranon process was attempted using the fibular head and the remaining olecranon. At 2-years followup, there was no recurrence, flexion extension arc of the elbow joint was 40°-130° and there was no restriction of activities of daily living.
促结缔组织增生性纤维瘤是一种罕见的、分化良好的、局部侵袭性纤维瘤，通常起源于软组织，很少起源于骨骼。前臂骨受累极为罕见。我们报告一例15岁男性右尺骨的巨大促结缔组织增生性纤维瘤。肿瘤被广泛切除，骨缺损用非血管化自体腓骨移植重建。尝试用腓骨头和剩余的鹰嘴重建鹰嘴突。随访2年，无复发，肘关节屈伸弧为40°-130°，日常生活活动无受限。
