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Chondromixoid fibroids: causes, symptoms, diagnosis, treatment
Medical expert of the article
Last reviewed: 23.04.2024
Chondromixoid fibroma (synonym: fibromyxoid chondroma) is a rare benign tumor of the lobed structure of the chondroid, myxoid and fibrous types.
Among bone tumors, it is detected in less than 1% of patients aged 10 to 30 years (more than half of patients). Clinical manifestations are permanent pains in the affected limb segment. Over time, the intensity of pain increases, attach limp, hypotrophy of the soft tissues of the limb. Often, when palpation is determined by the area of uniform thickening of the bone, corresponding to the affected area. The tumor is most often located in the meta-dialysis of short and long tubular bones. On X-rays and CT, a lesion of the cellular-trabecular structure with a spindle-shaped swelling of the affected area of the bone and local destruction of the cortical layer is detected. With scintigraphy - local hypervascularization on average 185%, hyperfixation of the radiopharmaceutical - 475%. Differential diagnosis should be performed with aneurysmal and solitary bone cysts.
Treatment of chondromixoid fibroids surgical - marginal or segmental resection of the affected area of the bone with plastic postresection defect and according to the indications of the bone metallosteosynthesis.
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