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Antero-Posterior X-ray of a Non-Ossifying Fibroma
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Antero-Posterior X-ray of a Non-Ossifying Fibroma

This is an antero-posterior x-ray of the bones around the knee joint.
The femur is on the right and the tibia on the left. The patella is indicated by the yellow arrows.
Note the irregular area of lucency on the femur (shown by the white arrows).
This is the non-ossifying fibroma.
(Description By:T. V. Rajan, M.D. )
(Image Contrib. by:Hartford Hospital Hartford Hospital )
Non-ossifying fibroma
Etiology

Unknown
Pathogenesis

Probably represent developmental defects, rather than neoplasms.,
Epidemiology

Extremely common.
Found in as many as 30 to 50% of children older than two years.
General Gross Description

Usually found in the lower limb.
Found to arise eccentrically from the metaphysis of the bones around the knee joint.
General Microscopic Description

Histologically composed of benign fibroblasts.
Frequently associated with foamy macrophages.
Clinical Correlation

Asymptomatic.
Radiologically produce sharply demarcated lucent areas in bone.
Usually found as an incidental, asymptomatic finding on routine x-rays.
Resolve spontaneously, and are replaced by normal bone.
May result in pathological fracture, if they do not spontaneously resolve.
References

Cotran RS, Kumar V, Robbins SL: Robbins Pathologic Basis of Disease. 5th edition. Philadelphia, W.B. Saunders, 1994, pp. 1241.
Non-ossifying fibroma
Synopsis by: T.V. Rajan M.D. Ph.D. (T1X500M74940)[91]
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