Non-ossifying fibroma

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Non-ossifying fibroma
Other namesFibroxanthoma
NOF 1.jpg
X-ray of nonossifying fibroma of distal tibia.
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A non-ossifying fibroma (NOF) is a benign bone tumor of the osteoclastic giant cell-rich tumor type. [1] It generally occurs in the metaphysis of long bones in children and adolescents. [2] Typically, there are no symptoms unless there is a fracture. [2] It can occur as part of a syndrome such as when multiple non-ossifying fibromas occur in neurofibromatosis, or Jaffe-Campanacci syndrome in combination with cafe-au-lait spots, mental retardation, hypogonadism, eye and cardiovascular abnormalities. [2]

Contents

Diagnosis is by X-ray or MRI, usually when investigating a person for something else. [2] Medical imaging typically shows a well marginated radiolucent lesion, with a distinct multilocular appearance, sometimes looking like bubbles. [2] They consist of foci consist of collagen rich connective tissue, fibroblasts, histiocytes and osteoclasts. [2] Usually no treatment is required. [1]

It is found in 30-40% of children and adolescents, but rare in adults as most have resolved by this time. [2] They do not become malignant. [2] It affects twice as many males as females. [2] A NOF was identified on the mandible of Qafzeh 9, an early anatomically modern human dated to 90–100 000 yrs B.P. [3]

Additional images

An ossified non-ossifying fibroma on CT MaturenonossifyingfibromaCT.PNG
An ossified non-ossifying fibroma on CT

See also

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References

  1. 1 2 WHO Classification of Tumours Editorial Board, ed. (2020). "Non-ossifying fibroma". Soft Tissue and Bone Tumours: WHO Classification of Tumours. 3 (5th ed.). Lyon (France): International Agency for Research on Cancer. pp. 447–448. ISBN   978-92-832-4503-2.
  2. 1 2 3 4 5 6 7 8 9 Murali, Sundaram; Ilaslan, Hakan; Holden, Darlene M. (2015). "2. An imaging approach to bone tumors". In Santini-Araujo, Eduardo; Kalil, Ricardo K.; Bertoni, Franco; Park, Yong-Koo (eds.). Tumors and Tumor-Like Lesions of Bone: For Surgical Pathologists, Orthopedic Surgeons and Radiologists. Springer. p. 15. ISBN   978-1-4471-6577-4.
  3. Coutinho Nogueira D, Dutour O, Coqueugniot H, Tillier A.-m., (2019) Qafzeh 9 mandible (ca 90–100 kyrs BP, Israel) revisited : μ-CT and 3D reveal new pathological conditions, International Journal of Paleopathology, Vol 26, pp.104-110, https://doi.org/10.1016/j.ijpp.2019.06.002
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