Fibrous Dysplasia with Massive Cartilaginous Differentiation (Fibrocartilaginous Dysplasia) in the Proximal Femur

A Case Report and Review of the Literature

Hideo Morioka, Yasuhiro Kamata, Kazumasa Nishimoto, Michiro Susa, Kazutaka Kikuta, Keisuke Horiuchi, Aya Sasaki, Kaori Kameyama, Masaya Nakamura, Morio Matsumoto

Research output: Contribution to journalReview article

1 Citation (Scopus)

Abstract

Fibrous dysplasia (FD) is a monostotic or polyostotic benign bone lesion with spindle-cell proliferation in woven bone and stroma. Rarely, cartilaginous differentiation can be seen in the lesions of FD. FD with massive cartilaginous differentiation is called fibrocartilaginous dysplasia (FCD) and is considered a rare variant of FD. Although pathological findings of FD show irregular immature bone formation without osteoblastic rimming in fibrous tissue, and rarely show very small amounts of cartilage, histological images of FCD are said to show that cartilage with a relatively high cell density is present in the majority and that FD-like findings are seen in parts of it. The most characteristic feature of FCD on images is calcification in the lesions reflecting cartilaginous tissue. On the other hand, typical radiographic findings of FD include shadows with a ground-glass appearance and thinning and bulging of the cortical bone, the observation if calcification is not usual. Therefore, in the diagnosis of FCD, differentiation from multiple enchondromatosis, Ollier disease, chondrosarcoma, and chondrosarcoma secondary to FD is necessary, and it seems important to make a careful diagnosis based not only on the pathological findings but also on imaging and clinical findings. Herein, we report on a case of FD of the proximal femur associated with intralesional extensive cartilaginous differentiation in which a pathological fracture occurred during follow-up, with a review of the literature.

Original languageEnglish
Pages (from-to)126-133
Number of pages8
JournalCase Reports in Oncology
Volume9
Issue number1
DOIs
Publication statusPublished - 2016

Fingerprint

Enchondromatosis
Chondrosarcoma
Femur
Cartilage
Bone and Bones
Spontaneous Fractures
Osteogenesis
Glass
Cell Count
Cell Proliferation
Observation

Keywords

  • Cartilaginous differentiation
  • Fibrocartilaginous dysplasia
  • Fibrous dysplasia
  • Proximal femur

ASJC Scopus subject areas

  • Oncology

Cite this

Fibrous Dysplasia with Massive Cartilaginous Differentiation (Fibrocartilaginous Dysplasia) in the Proximal Femur : A Case Report and Review of the Literature. / Morioka, Hideo; Kamata, Yasuhiro; Nishimoto, Kazumasa; Susa, Michiro; Kikuta, Kazutaka; Horiuchi, Keisuke; Sasaki, Aya; Kameyama, Kaori; Nakamura, Masaya; Matsumoto, Morio.

In: Case Reports in Oncology, Vol. 9, No. 1, 2016, p. 126-133.

Research output: Contribution to journalReview article

Morioka, Hideo ; Kamata, Yasuhiro ; Nishimoto, Kazumasa ; Susa, Michiro ; Kikuta, Kazutaka ; Horiuchi, Keisuke ; Sasaki, Aya ; Kameyama, Kaori ; Nakamura, Masaya ; Matsumoto, Morio. / Fibrous Dysplasia with Massive Cartilaginous Differentiation (Fibrocartilaginous Dysplasia) in the Proximal Femur : A Case Report and Review of the Literature. In: Case Reports in Oncology. 2016 ; Vol. 9, No. 1. pp. 126-133.
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abstract = "Fibrous dysplasia (FD) is a monostotic or polyostotic benign bone lesion with spindle-cell proliferation in woven bone and stroma. Rarely, cartilaginous differentiation can be seen in the lesions of FD. FD with massive cartilaginous differentiation is called fibrocartilaginous dysplasia (FCD) and is considered a rare variant of FD. Although pathological findings of FD show irregular immature bone formation without osteoblastic rimming in fibrous tissue, and rarely show very small amounts of cartilage, histological images of FCD are said to show that cartilage with a relatively high cell density is present in the majority and that FD-like findings are seen in parts of it. The most characteristic feature of FCD on images is calcification in the lesions reflecting cartilaginous tissue. On the other hand, typical radiographic findings of FD include shadows with a ground-glass appearance and thinning and bulging of the cortical bone, the observation if calcification is not usual. Therefore, in the diagnosis of FCD, differentiation from multiple enchondromatosis, Ollier disease, chondrosarcoma, and chondrosarcoma secondary to FD is necessary, and it seems important to make a careful diagnosis based not only on the pathological findings but also on imaging and clinical findings. Herein, we report on a case of FD of the proximal femur associated with intralesional extensive cartilaginous differentiation in which a pathological fracture occurred during follow-up, with a review of the literature.",
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