Adamantinomas are rare, slow-growing cancerous bone tumors that form primarily in the tibia, also known as the shin bone, but occasionally form in the jaw, forearm, hands or feet. In 20% of cases, the tumor travels to the lungs or the lymph nodes.
An adamantinoma is a rare, slow-growing bone sarcoma (cancer). It might arise from a pre-existing condition from the bone called an osteofibrous dysplasia. Since these tumors are slow-growing, they rarely spread to other sites in the body.
Adamantinomas are cancerous tumors that, if left unchecked, will grow and destroy your normal bone. As the tumor grows, the bone is weakened and you are at an increased risk of breaking the bone due to the tumor, called a pathological fracture.
Radiographic imaging is used to help form a diagnosis of ABC. These include X-Ray, MRI, CT and Bone Scans.
An example of an Adamantinoma X-Ray is shown.
Patients treated with wide excision surgery have a lower rate of the tumor coming back (recurrence). The main treatment of this is surgical removal, wide excision with clear margins. After an en bloc, wide resection, reconstruction is performed. Amputation does not increase survival rate compared to limb saving surgery.
The empty bone cavity is usually filled with bone graft or bone cement. Bone can be donated (allograft) or taken from the patient themselves (autograft). Fixation devices, such as a plate and screws, may be used in specific situations to prevent postoperative fracture.
I've seen many doctors and I can confidently attest Dr. Wittig is the preeminent orthopaedic specialist. He is genuinely kind and caring, as he demonstrated by completely addressing my concerns and compassionately relating to what I was dealing with. He clearly outlined the plan of attack, and recommended the two additional doctors who would become part of my 'team'. Dr. Wittig was so effective in allaying our fears and bringing us optimism. My surgery was significant, but I was up and walking the next day and back at the gym 5 weeks later. This is further testament to Dr. Wittig's skill. He saved my leg and my life, and I feel so very blessed to say he is my doctor. I have already recommended him to others, and I will continue to do so. I would trust him with my closest family and lifelong friends. BEST DOCTOR EVER.
Myself and my amazing team are dedicated to saving your life and your limb. Losing a limb because of a tumor can be a terrifying experience. But, it does not have to be the only option. I’ve spent 20+ years as a Board-Certified Orthopedic Surgeon and Orthopedic Oncologist.
I’ve devoted my career to helping children and adults afflicted with bone and soft tissue masses by performing complex limb saving surgeries. Most patients can have their limb saved, which may require innovative techniques.
Patients afflicted with musculoskeletal tumors have complex conditions that are best taken care of at large hospitals. I am the Chairman of Orthopedics and Chief of Orthopedic Oncology at Morristown Medical Center. My philosophy is a multidisciplinary team approach, working together to tailor treatment to individual patients. Education and research are essential to my practice, providing the best setting for extraordinary patient care. Because of this, we have some of the top results in the country.