Metaphyseal fibrous defect

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Template:Metaphyseal fibrous defect
Diagnosis in short

Synonyms nonossifying fibroma

LM spindle cells
LM DDx giant cell tumor of bone
Syndromes Jaffe-Campanacci syndrome

Clinical history Incidental
Radiology Lucent defect in the metaphysis


General

  • Common
  • Non-neoplastic
  • Self-limited
  • Skeletally immature individuals, children and adolescent
  • Often small lesions discovered an radiographic incidentaloma

Gross

Firm, granular, brown to yellow to red

Microscopic

Spindle cells without cytologic atypia are arranged in a storiform pattern with scattered chronic inflammatory cells and benign giant cells. Foam cells and hemosiderin deposition are present. Mitoses are seen but cytologic atypia is absent.

Stains

Not relevant.

IHC

Not relevant

Molecular

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See also

http://njms2.umdnj.edu/tutorweb/case8.htm http://www.pathologyoutlines.com/topic/bonemetaphysealfibrousdefect.html

References