Skip to main content
SpringerLink
Log in

Periosteal desmoplastic fibroma of the tibia in a 3-year-old child

  • General Review • PAEDIATRICS - TUMORS
  • Published:
European Journal of Orthopaedic Surgery & Traumatology Aims and scope Submit manuscript

Abstract

Desmoplastic fibroma is a rare benign fibrogenic, locally aggressive, primary bone tumor. It is the intraosseous counterpart of soft tissue aggressive fibromatosis. The lesion may very rarely appear as a superficial bone lesion arising from the periosteum; in such cases, a soft tissue mass with changes in the adjacent bone is evident. Periosteal lesions are very rare in the literature; diagnosis is usually based on the radiographic findings, and histological proof of the tumor origin is missing. A periosteal desmoplastic fibroma of the distal tibial metaphysis in a 3-year-old boy is presented. Radiographic investigation included plain radiographs and computed tomography imaging. Both demonstrated a soft tissue lesion involving the superficial bone tissues with non-aggressive looking borders and a pressure effect with a sclerotic rim in the bone. The lesion was excised, and the surgical as well as the histological findings indicated the diagnosis of a desmoplastic fibroma of bone arising from the periosteum. No recurrence was detected 5 years after surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Jaffe HL (1958) Tumors and tumorous conditions of the bones and joints. Lea & Febiger, Philadelphia

    Google Scholar 

  2. Hardy R, Lehrer H (1967) Desmoplastic fibroma vs desmoid tumor of bone. Radiology 88:899–901

    Article  CAS  PubMed  Google Scholar 

  3. Crim JR, Gold RH, Mirra JM, Eckardt JJ, Bassett LW (1989) Desmoplastic fibroma of bone: radiographic analysis. Radiology 172(3):827–832

    Article  CAS  PubMed  Google Scholar 

  4. Dong PR, Seeger LL, Eckardt JJ, Mirra JM (1994) Case report 847. Juxtacortical aggressive fibromatosis (desmoplastic fibroma) of the forearm. Skeletal Radiol 23(7):560–563

    Article  CAS  PubMed  Google Scholar 

  5. O’Connell JX, Logan PM, Beauchamp CP (1995) Solitary fibrous tumor of the periosteum. Hum Pathol 26(4):460–462

    Article  PubMed  Google Scholar 

  6. Dorfman HD, Czerniak B (1998) Bone tumors. Mosby, St Louis

    Google Scholar 

  7. Abramowitz D, Zornoza J, Ayala AG, Romsdahl MM (1983) Soft-tissue desmoid tumors: radiographic bone changes. Radiology 146(1):11–13

    Article  CAS  PubMed  Google Scholar 

  8. Mirra JM (1989) Desmoid tumor of bone (desmoplastic fibroma or “aggressive fibromatosis”). In: Mirra JM (ed) Bone tumors: clinical, radiologic, and pathologic correlations. Lea & Febiger, Philadelphia, pp 735–747

    Google Scholar 

  9. Goldblum JR, Fletcher JA (2002) Desmoid-type fibromatoses. In: Fletcher CDM, Unni KK, Mertens F (eds) Pathology and genetics of tumours of soft tissue and bone, World Health Organization Classification of Tumours. IARC Press, Lyon, pp 83–84

    Google Scholar 

  10. Shinagare AB, Ramaiya NH, Jagannathan JP, Krajewski KM, Giardino AA, Butrynski JE, Raut CP (2011) A to Z of desmoid tumors. AJR Am J Roentgenol 197(6):W1008-1014

    Google Scholar 

  11. Nilsonne U, Göthlin G (1969) Desmoplastic fibroma of bone. Acta Orthop Scand 40(2):205–215

    Article  CAS  PubMed  Google Scholar 

  12. Graudal N (1984) Desmoplastic fibroma of bone. Case report and literature review. Acta Orthop Scand 55(2):215–219

    Article  CAS  PubMed  Google Scholar 

  13. Frick MA, Sundaram M, Unni KK, Inwards CY, Fabbri N, Trentani F, Baccini P, Bertoni F (2005) Imaging findings in desmoplastic fibroma of bone: distinctive T2 characteristics. AJR Am J Roentgenol 184(6):1762–1767

    Article  PubMed  Google Scholar 

  14. Stefanidis K, Benakis S, Tsatalou E, Ouranos V, Chondros D (2011) Computed tomography and magnetic resonance imaging of desmoplastic fibroma with simultaneous manifestation in two unusual locations: a case report. J Med Case Rep 5:28

    Article  PubMed Central  PubMed  Google Scholar 

  15. Nedopil A, Raab P, Rudert M (2013) Desmoplastic fibroma: a case report with three years of clinical and radiographic observation and review of the literature. Open Orthop J 8:40–46

    Article  PubMed Central  PubMed  Google Scholar 

  16. Koba T, Susa M, Nakayama R, Watanabe I, Horiuchi K, Mukai M, Yabe H, Toyama Y, Morioka H (2014) Desmoplastic fibroma arising in the distal phalanx of the great toe: a case report. J Foot Ankle Surg 53(1):71–74

    Article  PubMed  Google Scholar 

  17. Bertoni F, Calderoni P, Bacchini P, Campanacci M (1984) Desmoplastic fibroma of bone. A report of six cases. J Bone Joint Surg Br 66(2):265–268

    CAS  PubMed  Google Scholar 

  18. Gebhardt MC, Campbell CJ, Schiller AL, Mankin HJ (1985) Desmoplastic fibroma of bone. A report of eight cases and review of the literature. J Bone Joint Surg Am 67(5):732–747

    CAS  PubMed  Google Scholar 

  19. Chan KW, Pun WK, Choi CH (1987) Desmoplastic fibroma of bone. Pathology 19(2):201–203

    Article  CAS  PubMed  Google Scholar 

  20. Inwards CY, Unni KK, Beabout JW, Sim FH (1991) Desmoplastic fibroma of bone. Cancer 68(9):1978–1983

    Article  CAS  PubMed  Google Scholar 

  21. Taconis WK, Schütte HE, van der Heul RO (1994) Desmoplastic fibroma of bone: a report of 18 cases. Skeletal Radiol 23(4):283–288

    Article  CAS  PubMed  Google Scholar 

  22. Böhm P, Kröber S, Greschniok A, Laniado M, Kaiserling E (1996) Desmoplastic fibroma of the bone. A report of two patients, review of the literature, and therapeutic implications. Cancer 78(5):1011–1023

    Article  PubMed  Google Scholar 

  23. Spjut HJ, Dorfman HD, Fechner RE, Ackerman LV (1971) Tumors of bone and cartilage. Armed forces institute of pathology, Washington DC

    Google Scholar 

  24. Fechner RE, Mills SE (1993) Tumors of bone and joints. Armed forces institute of pathology, Washington DC

    Google Scholar 

  25. Abdelwahab IF, Klein MJ, Hermann G, Steiner GC, Yang DC (2002) Osteosarcoma arising in a desmoplastic fibroma of the proximal tibia. AJR Am J Roentgenol 178(3):613–615

    Article  PubMed  Google Scholar 

  26. Bahk WJ, Kang YK, Lee AH, Mirra JM (2003) Desmoid tumor of bone with enchondromatous nodules, mistaken for chondrosarcoma. Skeletal Radiol 32(4):223–226

    Article  PubMed  Google Scholar 

  27. Takazawa K, Tsuchiya H, Yamamoto N, Nonomura A, Suzuki M, Taki J, Tomita K (2003) Osteosarcoma arising from desmoplastic fibroma treated 16 years earlier: a case report. J Orthop Sci 8(6):864–868

    Article  PubMed  Google Scholar 

  28. Koplas K, Sundaram M (2009) Fibrogenic and fibrohistiocytic tumors. In: Davies AM, Sundaram M, James SLJ (eds) Imaging of bone tumors and tumor-like lesions. Springer, Berlin, pp 308–309

    Google Scholar 

  29. Rabhan WN, Rosai J (1968) Desmoplastic fibroma. Report of ten cases and review of the literature. J Bone Joint Surg Am 50(3):487–502

    CAS  PubMed  Google Scholar 

  30. Connolly NK (1961) Juvenile fibromatosis. A case report showing invasion of the bone. Arch Dis Child 36:171–175

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  31. Rosen RS, Kimball W (1966) Extra-abdominal desmoid tumor. Radiology 86(3):534–540

    Article  CAS  PubMed  Google Scholar 

  32. Atanackovic M, Sopta J, Dordevic A, Markovic L (2004) Periosteal lesions: clinicopathologic dilemmas and problems of their distinguishing. Arch Oncol 12(Suppl 1):44–45

    Google Scholar 

  33. Hyodo R, Komada T, Takada A, Kawai H, Ito S, Nishida Y, Naganawa S (2015) Solitary fibrous tumors in the extremities: imaging findings for six patients. Nagoya J Med Sci 77(1–2):167–178

    PubMed Central  PubMed  Google Scholar 

  34. Letts M, Pang E, Carpenter B, Boudreau Y (1995) Parosteal fasciitis in children. Am J Orthop (Belle Mead NJ) 24(2):119–127

    CAS  Google Scholar 

  35. Park C, Park J, Lee KY (2004) Parosteal (nodular) fasciitis of the hand. Clin Radiol 59(4):376–378

    Article  CAS  PubMed  Google Scholar 

  36. Park JS, Park HB, Lee JS, Na JB (2012) Nodular fasciitis with cortical erosion of the hand. Clin Orthop Surg 4(1):98–101

    Article  PubMed Central  PubMed  Google Scholar 

  37. Dell PC, Vander Griend RA, Spanier S (1993) Malignant fibrous lesions. In: Bogumil GP, Fleegler EJ (eds) Tumors of the hand and upper limb. Churchill Livingstone, Edinburgh, pp 246–247

    Google Scholar 

  38. Hosalkar HS, Torbert JT, Fox EJ, Delaney TF, Aboulafia AJ, Lackman RD (2008) Musculoskeletal desmoid tumors. J Am Acad Orthop Surg 16(4):188–198

    PubMed  Google Scholar 

  39. Brower AC, Culver JE Jr, Keats TE (1971) Histological nature of the cortical irregularity of the medial posterior distal femoral metaphysis in children. Radiology 99(2):389–392

    Article  CAS  PubMed  Google Scholar 

  40. Kontogeorgakos VA, Xenakis T, Papachristou D, Korompilias A, Kanellopoulos A, Beris A, Brigman B (2009) Cortical desmoid and the four clinical scenarios. Arch Orthop Trauma Surg 129(6):779–785

    Article  PubMed  Google Scholar 

  41. Young JW, Aisner SC, Levine AM, Resnik CS, Dorfman HD (1988) Computed tomography of desmoid tumors of bone: desmoplastic fibroma. Skeletal Radiol 17(5):333–337

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgments

The author wish to thank Mrs. R. Kotakidou for her help with the histological study.

Author information

Authors and Affiliations

  1. Department of Pediatric Orthopaedics, Aristotle University of Thessaloniki, “G. Gennimatas” Hospital, 54635, Thessaloniki, Greece

    N. K. Sferopoulos

Authors
  1. N. K. Sferopoulos
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to N. K. Sferopoulos.

Ethics declarations

Conflict of interest

The author certifies that he has no commercial associations (such as consultancies, stock ownership, equity interest and patent/licensing arrangements) that might pose a conflict of interest in connection with the submitted article. The author received no financial support for this study.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Sferopoulos, N.K. Periosteal desmoplastic fibroma of the tibia in a 3-year-old child. Eur J Orthop Surg Traumatol 25, 1233–1238 (2015). https://doi.org/10.1007/s00590-015-1680-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00590-015-1680-8

Keywords

Search

Navigation