Bouaicha Walid, Jlidi Mohamed, Nechi Salwa, Lammouchi Mouldi, Sbaihi Siwar, Daas Selim
Orthopaedics and Trauma department, M.T.M Hospital, Nabeul, Tunisia.
University of Tunis el Manar, Faculty of Medicine of Tunis, Tunisia.
Bone Rep. 2023 Oct 11;19:101721. doi: 10.1016/j.bonr.2023.101721. eCollection 2023 Dec.
Non-ossifying fibroma (NOF) is one of the most commonly seen benign bone tumours. Although renowned for their benign behaviour and tendency for spontaneous healing, these tumours can occasionally exhibit an aggressive course. Few published papers have focused on the treatment options of symptomatic NOFs.The aim of this case report is to discuss the clinical presentation of a painful and unusually aggressive multiple NOF of the distal tibia in a female adolescent patient.
The case of a 17-year-old female patient who was complaining of a painful swollen right lower leg for the past few months. The symptoms became gradually worse, preventing her from sporting activities and becoming more and more debilitating. The patient was diagnosed with a particularly aggressive multiple non-ossifying fibroma of the distal tibia and fibula. She was treated with lesion curettage, bone grafting and external fixation with good clinical and radiological outcomes.
Non-ossifying fibroma is a benign lesion that only requires observation in most of the cases. However, symptomatic lesions with aggressive behaviour or complicated with pathologic fracture may warrant surgical intervention.
非骨化性纤维瘤（NOF）是最常见的良性骨肿瘤之一。尽管这些肿瘤以其良性行为和自发愈合倾向而闻名，但它们偶尔也会表现出侵袭性病程。很少有已发表的论文关注有症状的非骨化性纤维瘤的治疗选择。本病例报告的目的是讨论一名女性青少年患者右胫骨远端疼痛且异常侵袭性的多发性非骨化性纤维瘤的临床表现。
一名17岁女性患者，主诉在过去几个月里右小腿疼痛肿胀。症状逐渐加重，使她无法进行体育活动，且日益衰弱。该患者被诊断为右胫骨远端和腓骨特别侵袭性的多发性非骨化性纤维瘤。她接受了病灶刮除、骨移植和外固定治疗，临床和影像学结果良好。
非骨化性纤维瘤是一种良性病变，大多数情况下仅需观察。然而，具有侵袭性行为或并发病理性骨折的有症状病变可能需要手术干预。
