Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur

A 16-year-old woman presented to her local hospital with a few-month history of right knee pain. On MRI, the lesion exhibited an intermediate signal on T1-weighted and T2-weighted images. The orthopedic physician made a diagnosis of osteochondritis dissecans. After 13 months from the first visit, th...

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Main Authors: Junya Shimizu, Makoto Emori, Yohei Okada, Tadashi Hasegawa, Toshihiko Yamashita
Format: Article
Language:English
Published: Wiley 2018-01-01
Series:Case Reports in Orthopedics
Online Access:http://dx.doi.org/10.1155/2018/8030862
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author Junya Shimizu
Makoto Emori
Yohei Okada
Tadashi Hasegawa
Toshihiko Yamashita
author_facet Junya Shimizu
Makoto Emori
Yohei Okada
Tadashi Hasegawa
Toshihiko Yamashita
author_sort Junya Shimizu
collection DOAJ
description A 16-year-old woman presented to her local hospital with a few-month history of right knee pain. On MRI, the lesion exhibited an intermediate signal on T1-weighted and T2-weighted images. The orthopedic physician made a diagnosis of osteochondritis dissecans. After 13 months from the first visit, the patient underwent MRI of the knee once more, which demonstrated that the osteolytic lesion grew larger. To achieve a definitive diagnosis, we attempted to perform a resection biopsy with knee arthroscopy. We performed biopsy, and the tumor was removed completely. The tumor occurred in an epiphysis, and the pathological findings concluded that the pathological diagnosis was benign fibrous histiocytoma. One year after surgery, she was asymptomatic. Computed tomography revealed that the previous tumor bone cavity was filled with bone formation and no evidence of recurrence.
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institution Kabale University
issn 2090-6749
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publishDate 2018-01-01
publisher Wiley
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series Case Reports in Orthopedics
spelling doaj-art-f3ef07540aa14770bdd7b6cedfd483512025-02-03T05:53:46ZengWileyCase Reports in Orthopedics2090-67492090-67572018-01-01201810.1155/2018/80308628030862Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the FemurJunya Shimizu0Makoto Emori1Yohei Okada2Tadashi Hasegawa3Toshihiko Yamashita4Department of Orthopaedic Surgery, Sapporo Medical University School of Medicine, JapanDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, JapanDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, JapanDepartment of Surgical Pathology, Sapporo Medical University School of Medicine, JapanDepartment of Orthopaedic Surgery, Sapporo Medical University School of Medicine, JapanA 16-year-old woman presented to her local hospital with a few-month history of right knee pain. On MRI, the lesion exhibited an intermediate signal on T1-weighted and T2-weighted images. The orthopedic physician made a diagnosis of osteochondritis dissecans. After 13 months from the first visit, the patient underwent MRI of the knee once more, which demonstrated that the osteolytic lesion grew larger. To achieve a definitive diagnosis, we attempted to perform a resection biopsy with knee arthroscopy. We performed biopsy, and the tumor was removed completely. The tumor occurred in an epiphysis, and the pathological findings concluded that the pathological diagnosis was benign fibrous histiocytoma. One year after surgery, she was asymptomatic. Computed tomography revealed that the previous tumor bone cavity was filled with bone formation and no evidence of recurrence.http://dx.doi.org/10.1155/2018/8030862
spellingShingle Junya Shimizu
Makoto Emori
Yohei Okada
Tadashi Hasegawa
Toshihiko Yamashita
Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
Case Reports in Orthopedics
title Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
title_full Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
title_fullStr Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
title_full_unstemmed Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
title_short Arthroscopic Resection for Benign Fibrous Histiocytoma in the Epiphysis of the Femur
title_sort arthroscopic resection for benign fibrous histiocytoma in the epiphysis of the femur
url http://dx.doi.org/10.1155/2018/8030862
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