This condition is a benign (noncancerous) and non-aggressive tumor that consists of fibrous tissue. This is considered an indolent tumor meaning that it develops in the bone and grows to a certain size but then stops growing and does not destroy the bone like an active or aggressive benign bone tumor.
Benign (noncancerous) and non-aggressive tumor that consists of fibrous tissue. This is considered an indolent tumor meaning that it develops in the bone and grows to a certain size but then stops growing and does not destroy the bone like an active or aggressive benign bone tumor.
The main risk to the limb is that the tumor grows large enough that it results in a fracture. When it grows to a large enough size it creates a weakness in the bone that the child may break through the bone.
Most however are found incidentally and do not grow large enough to cause a fracture. Very little risk to the limbs as it is usually small heals by itself when the child is fully grown.
Radiographic imaging is used to help form a diagnosis. These include X-Ray, MRI, CT and Bone Scans.
An example of a X-Ray and MRI are shown.
Observation is the most common treatment. In certain cases, surgery should be considered especially if the tumor is large and in young children. Surgical treatments include curettage and bone graft.
The most common treatment is observation. Nonossifying fibroma most commonly goes away on its own. The bone heals and fills in on its own when the child is fully grown, usually by the age of 21. Observation includes repeat imaging every few months or years to make sure the mass is controlled and the bone is not at risk of being damaged.
Intralesional Curettage means to scoop the tumor out using a spoon-like tool called a curette. This surgery aims to remove the mass and restore the bone so that the patient can get back to normal function. The mass is identified within the bone and scooped, or curetted, out. The cavity is then shaved down with a Midas Rex Drill, which is similar to a dental drill. This removes more tumor cells.
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.
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