[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.147.238.62. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
April 1997

Pathological Case of the Month

Author Affiliations

The Departments of Pathology (Drs Iravani and Gilbert-Barness) and Orthopedic Surgery (Dr Walling), University of South Florida, Tampa.

Arch Pediatr Adolesc Med. 1997;151(4):427-428. doi:10.1001/archpedi.1997.02170410101016
Abstract

A 17-YEAR-OLD boy was seen with a slowly enlarging, painful mass over the anterior aspect of his left tibia. The lesion was first noticed approximately 3 to 4 years ago, at which time it was small.

Results of a physical examination revealed a mass, 4 × 3 cm, overlying the distal aspect of the diaphysealmetaphyseal junction. There was no history of trauma to this site. The patient had full range of motion of his ankle and knee. He had no neurovascular abnormalitites and no palpable lymphadenopathy. The white blood cell count and sedimentation rate results were within normal limits. Further diagnostic evaluation, including radiographic studies (Figure 1), computed tomographic scan (Figure 2), and incisional biopsy (Figure 3 and Figure 4), was performed.

Diagnosis and Discussion

Adamantinoma

A damantinoma is a rare, slow-growing, low-grade malignant tumor that accounts for approximately 0.1% to 0.5 % of all malignant bone tumors.1,2 Its behavior

First Page Preview View Large
First page PDF preview
First page PDF preview
×