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Chondromyxoid fibroma

Case contributed by A.Prof Frank Gaillard ◉ ◈

Diagnosis almost certain

Diagnosis almost certain

Patient Data

Age: 70 years

Gender: Male

From the case: Chondromyxoid fibroma

X-ray

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Frontal

A focal lucent lesion of the proximal ulna is demonstrated with a narrow zone of transition.

From the case: Chondromyxoid fibroma

CT

Axial bone window

Single CT image through the lesion confirms the presence of the lesion that is confined to the cortex of the bone.

From the case: Chondromyxoid fibroma

MRI

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Sagittal T2 fat sat

MRI demonstrates the lesion to have very high T2 signal and low T1 signal with no adjacent soft tissue component or bone marrow edema.

Case Discussion

This patient went on to have a curettage confirming the diagnosis of a chondromyxoid fibroma

Histology

Intramedullary contents from the left ulna showing chondromyxoid fibroma.

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