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Slow growing by locally aggressive tumor of tibia. differential diagnosis and management


Case Report |  Volume 4 | Issue 1 | JOCR Jan-Mar 2014 | Page 15-17 | Anoumou M N, Kouame M, Koffi E K, Varango G

DOI: 10.13107/jocr.2250-0685.140


Authors: Anoumou M N[1],Kouame M[1], Koffi E K[2], Varango G[1]

[1]Department of Traumatology and Orthopaedic surgery, University Hospital of Treichville. Côte d’Ivoire.

[2]Department of  Anatomy and pathology, University Hospital of Treichville. Côte d’Ivoire.

Address of Correspondence:

Dr Anoumou N. Michel, Department of Traumatology and Orthopaedic surgery, University Hospital of Treichville. Côte d’Ivoire. Email: anoumoumichel@yahoo.com


Abstract

Introduction: Adamantinoma is a bone tumor which is commonly showed in mandible. Its occurrence in long bones constitutes a rare affection and a difficult histological diagnosis This rare malignant tumor of mesenchymal and epithelial origin was discovered in the tibia of a male patient.

Case Report: The authors report a case of adamantinoma of the tibia in a 36- years old. He presented with slowly progressing leg swelling that evolved over 2 years without significant clinical manifestation. Complementary examination and investigation did not help in differential diagnosis and confirmation was only possible after histological examination. There was increase in size of lesion with increased pain and patie3nt presented with pathological fracture. Local extension of the tumor indicated an amputation of leg. The histological exam of the amputation specimen confirmed the results of the initial biopsy by showing cells tumorales in favour of an adamantinoma. After a good medium-term follow up, the patient died secondary to lung metastases. The authors discuss their method of diagnosis and therapeutics in front of such tumor.

Conclusion: Adamantinoma is characterized by a slow clinical development marked by the prevalence of lung metastases and local recurrences. After the diagnosis, there must be a complete and sufficient surgery to avoid a local recurrence or metastasis.

Keywords: Adamantinoma, Tibia, Tumor.


 

How to Cite This Article: Anoumou M N, Kouame M, Koffi E K, Varango G. Adamantinoma of the Tibia: A Case Report. Journal of Orthopaedic Case Reports 2014 Jan-Mar ;4(1): 15-17. Available from: http://www.jocr.co.in/wp/2014/01/06/2250-0685-140-fulltext/


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