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ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2022, Number 1

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Ortho-tips 2022; 18 (1)

Liposclerosing myxofibroma of the proximal femur: diagnostic and therapeutic controversies. Apropos of 3 clinical cases

Mellado RMÁ, Godoy MMA, Alcalá-Galiano RA, Casas RP, Enguita VAB, Ramos PLR

Language: Spanish
References: 15
Page: 41-48
PDF size: 475.04 Kb.


ABSTRACT

Introduction: The bone liposclerosing myxofibrous tumour (LSMFT) is a rare benign fibro-osseous tumor with characteristic clinical-radiological features, although its diagnosis and treatment are controversial. Material and methods: We present three patients, two women and one man, with a mean age of 46 years, diagnosed with LSMFT. The findings of the complementary imaging tests and the treatment performed are presented: observation in two patients and curettage, and the third patient was treated with curettage, grafting and surgical fixation. Results: The first two patients, after 10 and three years of follow-up, respectively, maintain the same symptoms and no progression of the lesion. Conclusions: The diagnosis of LSMFT can be assumed by clinical and imaging data without biopsy. In the absence of signs that suggest malignancy, observation is justified, limiting the surgical indication to symptomatic cases and/or those with risk of pathological fracture.


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