PMC7476702_01
Pre-operativeX-ray before the first surgery.
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F1
The patient had a similar problem 4 years back (Fig. 1), for which she underwent surgery elsewhere and she completely recovered.
Pre-operativeX-ray showing 1cm diameter multiloculated lesion involving the complete diameter of bone with sclerotic rim in the distal diaphysis of radius, with no periosteal reaction and cortical breach.
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F2
X-ray radiography showed a 1cm diameter multiloculated lesion involving the complete diameter of bone with sclerotic rim in the distal diaphysis of radius, with no periosteal reaction and cortical breach (Fig. 2).
(a) Pre-operativemagnetic resonance imaging(MRI). (b) Pre-operativeMRI,well-defined expansile lytic, trabeculated lesion with multiple internal septations region.
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F3
Magnetic resonance (MR) imaging showed a well-defined expansile lytic, trabeculated lesion with multiple internal septations region (Fig. 3a and b).
Photomicrography showing tissue with spindle cells arranged in fascicles and bundles in a storiform pattern along with osteoclast-like giant cells, no evidence of cytological atypia/atypical mitosis/necrosis suggestive of non-ossifying fibroma.
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F4
Histopathology showed tissue with spindle cells arranged in fascicles and bundles in a storiform pattern along with osteoclast such as giant cells and no evidence of cytological atypia/atypical mitosis/necrosis suggestive of non-ossifying fibroma (Fig. 4).
Two-month post-operativeX-ray.
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F5
Post-operative radiograph showed some residual tumor involving the dorsal cortex which was noted even at 1-year follow-up X-ray (Fig. 5).The patient was followed up for 3 years.
Three-year post-operativeX-ray.
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F6
Tumor was completely regressed and was not seen on X-ray (Fig. 6).
(a-d) The clinical images after 3-year follow-up.
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F7
She had a full range of movement with no functional deformity (Fig. 7a-d).