Chondromyxoid fibroma of the foot

O’Connor, Philip; Gibbon, Wayne; Hardy, G. J.; Butt, Wasi Haider

doi:10.1007/s002560050051

Cited by 40 publications

(13 citation statements)

References 11 publications

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“…13). 56 The pelvis accounts for approximately 10% of cases, with the ilium the most common location. Lesions within the spine, ribs, and craniofacial bones are rare.…”

Section: Chondromyxoid Fibromamentioning

confidence: 99%

Benign Chondroid Neoplasms of Bone

Robbin

Murphey²

2000

Semin Musculoskelet Radiol

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Benign cartilage lesions discussed in this article include osteochondroma (solitary, epiphyseal, and multiple), chondroblastoma, periosteal chondroma, and chondromyxoid fibroma. These lesions often demonstrate imaging appearances strongly suggesting the above diagnosis, particularly the "ring and arc" mineralization characteristic of cartilage lesions, which reflects their underlying pathology. This article emphasizes the imaging spectrum of these lesions with a multimodality approach.

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“…13). 56 The pelvis accounts for approximately 10% of cases, with the ilium the most common location. Lesions within the spine, ribs, and craniofacial bones are rare.…”

Section: Chondromyxoid Fibromamentioning

confidence: 99%

Benign Chondroid Neoplasms of Bone

Robbin

Murphey²

2000

Semin Musculoskelet Radiol

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“…Large or recurrent lesions may be locally aggressive. O'Connor et al described four cases of CMF in the forefoot and reported that three of the four recurred, one at 19 years after surgery [17]. Malignant potential has been documented in the literature [2,8], although we came across no case with malignant transformation.…”

Section: Discussionmentioning

confidence: 62%

“…Although foot and ankle involvement is reported to vary from 10% to 31% [19,20,23,25], most available evidence is in the form of isolated case reports or small case series [3,5,7,9,12,14,17,18,21,22,24]. Ten cases of histologically proven CMF of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using Scottish Bone Tumour Registry database in order to ascertain the behavior of CMF in the foot and ankle area with regard to diagnosis, treatment and prognosis.…”

Section: Introductionmentioning

confidence: 99%

Chondromyxoid fibroma of the foot and ankle: 40 years’ Scottish bone tumour registry experience

Sharma

Jane

Reid

2006

International Orthopaedics (SICO

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Ten cases of histologically proven chondromyxoid fibroma (CMF) of the foot and ankle with a mean follow-up of 6.1 years were retrospectively reviewed using the Scottish Bone Tumour Registry. The patients' mean age was 19 years; there were six males and four females. The anatomical locations were five phalangeal, three metatarsal, one tarsal affecting body of os calcis and one distal tibial. The median delay in presentation was 4.5 months. The modes of presentation were pain only (n=4), painful lump (n=4) and painless lump (n=2). The typical radiological finding was an expansile, lobulated, cystic lesion. Cortical erosion was documented in 80% patients. In four cases, curettage alone was carried out, while five patients underwent curettage along with autogenous bone grafting. One patient with distal phalangeal CMF had a primary toe amputation. Two patients had recurrences 9 and 16 months after their initial curettage. Both of them were males with proximal phalangeal CMF, associated with cortical erosion. Foot and phalangeal CMF initially treated with curettage only should be closely followed up, as we observed a 20% recurrence rate within a 2-year period. Cases featuring cortical erosion require thorough curettage and may require autogenous bone grafting to prevent fracture.Résumé Nous avons revu rétrospectivement à l'aide du registre Ecossais des tumeurs osseuses, dix cas de fibromes chondromyxoides du pied et de la cheville. L'âge moyen était de 19 ans avec une répartition par sexe suivante : 6 garçons et 4 filles. La localisation anatomique de la tumeur était cinq fois une phalange, trois fois un métatarsien, une fois un os du tarse et une fois l'extrémité inférieure du tibia. Le délai moyen de consultation était de quatre mois et demi, les patients consultant quatre fois pour une douleur, quatre fois pour une boiterie douloureuse, deux fois pour une boiterie non douloureuse. Les lésions kystiques étaient radiologiquement typiques de type lobulées. L'atteinte corticale a été retrouvée dans 80% des cas. Pour quatre cas nous avons procédé à un curetage isolé, dans cinq cas à un curetage associé à une auto-greffe. Un cas (atteinte de la phalange distale) a bénéficié d'une amputation d'orteil. Deux cas ont récidivé à neuf et seize mois après le curetage, il s'agissait d'un sujet masculin avec une atteinte de la phalange distale et une érosion corticale. Les fibromes chondromyxoides du pied et de la phalange qui ont initialement été traités par curetage isolé ont récidivé dans les deux ans, dans 20% des cas. Lorsque les lésions entraînent une érosion corticale, il est nécessaire d'associer au curetage une greffe, afin de prévenir le risque de fracture.

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“…The longest interval before recurrence was 18 years in second recurrence of metatarsal CMF [41]. Zillmer and Dorfman [3] mentioned that the overall time to recurrence was less than 2 years, and Wu et al [4] reported that it was between S months and 10 years (average age, 3.2 years), and the first recurrence was usually noted within 1 year.…”

Section: Discussionmentioning

confidence: 99%

Recurrent Chondromyxoid Fibroma of the Thoracic Spine 30 Years After Primary Excision

2001

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We report a case of late recurrence of chondromyxoid fibroma (CMF) arising in a thoracic vertebra in an 11-year-old male. This was treated by curettage, and 30 years later, the patient noticed shoulder pain and leg weakness. A recurrent mass appeared at the same site in the spinous process of T6. The histologic features of the recurrent tumor were similar to those of the primary lesion. A total of 38 cases of CMF of the vertebra have been reported. Only 3 of 38 previously reported vertebral CMF recurred. Tumors recurred 2 years after operation in 2 cases, and 7 years after operation in 1 case.

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Chondromyxoid fibroma of the foot

Cited by 40 publications

References 11 publications

Benign Chondroid Neoplasms of Bone

Benign Chondroid Neoplasms of Bone

Chondromyxoid fibroma of the foot and ankle: 40 years’ Scottish bone tumour registry experience

Recurrent Chondromyxoid Fibroma of the Thoracic Spine 30 Years After Primary Excision

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