Pathological fracture in non-ossifying fibroma with histological features simulating aneurysmal bone cyst

Eur Radiol. 1999;9(4):669-71. doi: 10.1007/s003300050730.

Abstract

A 12-year-old-girl presented with a fracture of an osteolytic lesion of the distal radius. A 7-year-old girl presented with a fracture of an osteolytic lesion of the femoral shaft. In both cases it was a non-ossifying fibroma with fracture misdiagnosed at pathology as aneurysmal bone cyst. Fractures through non-ossifying fibromas may alter the histological pattern of the initial lesion in two ways: firstly, by the presence of blood pigments due to the fracture, and secondly, by formation of new bone. Radiological-pathological correlation is essential to avoid histological errors after pathological fracture in a non-ossifying fibroma.

Publication types

  • Case Reports

MeSH terms

  • Bone Cysts, Aneurysmal / complications
  • Bone Cysts, Aneurysmal / diagnosis*
  • Bone Neoplasms / complications
  • Bone Neoplasms / diagnostic imaging
  • Bone Neoplasms / pathology*
  • Child
  • Diagnosis, Differential
  • Female
  • Fibroma / complications
  • Fibroma / diagnostic imaging
  • Fibroma / pathology*
  • Follow-Up Studies
  • Fractures, Spontaneous / diagnostic imaging
  • Fractures, Spontaneous / etiology
  • Fractures, Spontaneous / pathology*
  • Humans
  • Radiography
  • Radius Fractures / diagnostic imaging
  • Radius Fractures / etiology
  • Radius Fractures / pathology*