Difference between revisions of "Metaphyseal fibrous defect"

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*Often small lesions discovered as an radiographic incidentaloma.
*Often small lesions discovered as an radiographic incidentaloma.
*Rarely seen as a pathologic specimen (should not be biopsied).
*Rarely seen as a pathologic specimen (should not be biopsied).
*May be seen in the context of ''Jaffe-Campanacci syndrome''.<ref>URL: [http://www.bonetumor.org/plasma-cell-tumors/jaffe-campanacci-syndrome http://www.bonetumor.org/plasma-cell-tumors/jaffe-campanacci-syndrome]. Accessed on: October 14, 2014.</ref>
Clinical history:
*Incidental radiographic finding.
*Pathologic fracture.
Prognosis:
*Ideally should not be biopsied.
*Radiographically characteristic and benign.
*Ideally should not be treated or even biopsied.
*Spontaneously resolve by ossification.
*May resolve into a 'bone island'.


==Site==
==Site==
Line 50: Line 62:


==Gross==
==Gross==
Firm, granular, brown to yellow to red.
*Firm, granular, brown to yellow to red.


==Microscopic==
==Microscopic==
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==Images==
==Images==
[[File:Bone Metaphyseal Fibrous Defect Medium Power.JPG|thumb|Bone Metaphyseal Fibrous Defect Medium Power]]
<gallery>
[[File:Bone Metaphyseal Fibrous Defect High Power.JPG|thumb|Bone Metaphyseal Fibrous Defect High Power]]
Image:Bone Metaphyseal Fibrous Defect Medium Power.JPG|Metaphyseal fibrous defect - intermediate magnification.]]
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe1.jpg]
Image:Bone Metaphyseal Fibrous Defect High Power.JPG|Metaphyseal fibrous defect - high magnification.]]
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe2.jpg]
</gallery>
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe1.jpg]
www:
*[http://pathologyoutlines.com/wick/non-ossifying%20fibroma%20(metaphyseal%20fibrous%20defect)%20micro.jpg]
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe1.jpg MFD (umdnj.edu)].
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe2.jpg MFD (umdnj.edu)].
*[http://njms2.umdnj.edu/tutorweb/casegifs/nofhe1.jpg MFD (umdnj.edu)].
*[http://pathologyoutlines.com/wick/non-ossifying%20fibroma%20(metaphyseal%20fibrous%20defect)%20micro.jpg MFD (pathologyoutlines.com)].


==Stains==
==Stains==
Not relevant.
*Not relevant.


==IHC==
==IHC==
Not relevant
*Not relevant


==Molecular==
==Molecular==
Not relevant
*Not relevant
 
==Syndromes==
Jaffe-Campanacci syndrome <ref>URL: [http://www.bonetumor.org/plasma-cell-tumors/jaffe-campanacci-syndrome http://www.bonetumor.org/plasma-cell-tumors/jaffe-campanacci-syndrome]. Accessed on: October 14, 2014.</ref>
 
==Clinical history==
*Incidental radiographic finding
*Pathologic fracture
 
==Prognosis==
*Ideally should not be biopsied
*Radiographically characteristic and benign
*Ideally should not be treated or even biopsied
*Spontaneously resolve by ossification
*May resolve into a 'bone island'


==Radiographic findings==
==Radiographic findings==
Line 105: Line 106:


==Sign out==
==Sign out==
BONE; CURETTAGE: METAPHYSEAL FIBROUS DEFECT / NONOSSIFYING FIBROMA.
<pre>
BONE, CURETTAGE: METAPHYSEAL FIBROUS DEFECT / NONOSSIFYING FIBROMA.
</pre>


==See also==
==See also==
*[[Bone]].
==References==
{{Reflist|1}}
==External links==
*http://njms2.umdnj.edu/tutorweb/case8.htm
*http://njms2.umdnj.edu/tutorweb/case8.htm
*http://www.pathologyoutlines.com/topic/bonemetaphysealfibrousdefect.html
*http://www.pathologyoutlines.com/topic/bonemetaphysealfibrousdefect.html
*http://radiopaedia.org/articles/fibrous-cortical-defect
*http://radiopaedia.org/articles/fibrous-cortical-defect
*http://radiopaedia.org/articles/non-ossifying-fibroma-1
*http://radiopaedia.org/articles/non-ossifying-fibroma-1
==References==
{{Reflist|1}}


[[Category:Diagnosis]]
[[Category:Diagnosis]]
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