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==Overview== | ==Overview== | ||
On x-ray, fibroma is characterized by sharply demarcated, asymmetrical, cortically based lucencies with a thin sclerotic rim. | |||
==X-Ray== | |||
== | ==Non-ossifying Fibroma== | ||
* | *On X-Ray, non-ossifying fibromas are characterized by sharply demarcated, asymmetrical, cortically based lucencies with a thin sclerotic rim. | ||
*They often appear multiloculated. They are located in the metaphysis, adjacent to the physis. As the patient ages, they seem to migrate away from the growth plate. | |||
*They have no associated periosteal reaction, cortical breach or associated soft tissue mass. | |||
==Ossifying Fibroma== | |||
The following radiographic features are noted on x-ray of ossifying fibroma: | |||
*Ossifying fibroma is seen as a well-circumscribed lesion | |||
*Ossifying fibroma demonstrates evidence of intracortical osteolysis with a characteristic sclerotic band | |||
*Cortical expansion | |||
==Chondromyxoid Fibroma== | |||
The following features are seen on plain radiograph of chondromyxoid fibromas: | |||
*Chondromyxoid fibroma is seen as a lobulated, eccentric radiolucent lesion | |||
*Long axis is parallel to long axis of long bone | |||
*No periosteal reaction (unless a complicating fracture present) | |||
*In approximately 100% of cases geographic bone destruction is present | |||
*In approximately 85% of cases well defined sclerotic margin is present | |||
*In approximately 60% of cases there can be presence of septations (pseudotrabeculation) | |||
*In approximately 12.5% there can be presence of matrix calcification | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} |
Revision as of 07:38, 6 March 2016
Fibroma Microchapters |
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Fibroma x ray On the Web |
American Roentgen Ray Society Images of Fibroma x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Simrat Sarai, M.D. [2]
Overview
On x-ray, fibroma is characterized by sharply demarcated, asymmetrical, cortically based lucencies with a thin sclerotic rim.
X-Ray
Non-ossifying Fibroma
- On X-Ray, non-ossifying fibromas are characterized by sharply demarcated, asymmetrical, cortically based lucencies with a thin sclerotic rim.
- They often appear multiloculated. They are located in the metaphysis, adjacent to the physis. As the patient ages, they seem to migrate away from the growth plate.
- They have no associated periosteal reaction, cortical breach or associated soft tissue mass.
Ossifying Fibroma
The following radiographic features are noted on x-ray of ossifying fibroma:
- Ossifying fibroma is seen as a well-circumscribed lesion
- Ossifying fibroma demonstrates evidence of intracortical osteolysis with a characteristic sclerotic band
- Cortical expansion
Chondromyxoid Fibroma
The following features are seen on plain radiograph of chondromyxoid fibromas:
- Chondromyxoid fibroma is seen as a lobulated, eccentric radiolucent lesion
- Long axis is parallel to long axis of long bone
- No periosteal reaction (unless a complicating fracture present)
- In approximately 100% of cases geographic bone destruction is present
- In approximately 85% of cases well defined sclerotic margin is present
- In approximately 60% of cases there can be presence of septations (pseudotrabeculation)
- In approximately 12.5% there can be presence of matrix calcification