What medicine does fibroma of cartilage mucoid take?
summary
Chondromyxoid fibroma is a rare benign bone tumor with phyllodes of myxoid and chondroid differentiation. It originates from the connective tissue forming cartilage and has the characteristics of myxoid and chondroid. It accounted for 1.04% of primary bone tumors and 2.31% of benign bone tumors. In 1948, faffe and Lichtenstein first described and named the disease. Age and sex distribution, the youngest 4 years old, the oldest 79 years old, 10-30 years old is the most common, accounting for 72%. The incidence rate of male is higher than that of female, 1.9:1. The main clinical symptoms were mild pain, swelling and limited movement.
What medicine does fibroma of cartilage mucoid take?
The course of chondromyxoid fibroma is slow, and it is diagnosed only after several days to years. The main symptoms were mild pain, swelling and limited movement. Pain can be induced by exercise, but also local swelling without pain. About one third of the cases involved the tibia, mostly in the proximal tibia, but also common in the distal femur metaphysis. Most of them occur in the femur, and other lower limb bones such as fibula and foot bone, craniofacial bone, spine, pelvis and upper limb bone may also be involved occasionally.
The X-ray findings of chondromyxoid fibroma in the long bone showed that the metaphysis was mostly involved. It was an oval or round osteolytic lesion with eccentric growth, outward growth, bulging, clear edge, sclerosis, and focal edge irregularity. If it continues to grow, there is no new bone formation. The diameter of the tumor ranged from 1 cm to 10 cm, with an average of 3 cm. The cortical bone around the lesion became thin and expanded without periosteal regeneration. The marginal cortical bone disappeared and destroyed, and could invade into the soft tissue. Breaking through the edge, the cortical bone was lifted to form a disc, and a small Codman triangle appeared. Calcification is rare on X-ray. Calcification can be found in 1 / 4 of the cases. Pathological fracture is rare.
The age of onset of chondromyxoid fibroma is mostly between 15 and 30 years old, and it mainly occurs in the epiphysis of the long shaft of the lower extremity. X-ray showed eccentric osteolytic and polycystic destruction of metaphysis, which could be used as the basis for diagnosis.
matters needing attention
The local recurrence rate of chondromyxoid fibroma is 10-15%. The recurrence rate of simple curettage is 20-40%. 80% of bone graft can reduce the recurrence rate. The effect of microwave inactivation bone graft is better.