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{{CMG}}; {{AE}} {{Simrat}}
{{CMG}}; {{AE}} {{Simrat}}
==Overview==
==Overview==
CT scan may be helpful in the diagnosis of fibroma. Findings on CT scan suggestive of fibroma include diffuse, slightly hypoattenuating masses with poor, very slow contrast enhancement.
On x-ray, fibroma is characterized by sharply demarcated, asymmetrical, cortically based lucencies with a thin sclerotic rim.
 
==X-Ray==
==Key CT Findings in Fibroma==
==Non-ossifying Fibroma==
*Fibromas usually manifest as diffuse, slightly hypoattenuating masses with poor, very slow contrast enhancement. Calcification and bilaterality are both uncommon.
*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

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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

References


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