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2000
Volume 20, Issue 1
  • ISSN: 1573-4056
  • E-ISSN: 1875-6603
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Abstract

Introduction

Fibrosarcoma of bone is a rare malignant spindle cell tumor.

Case Study

Herein, we present a case of fibrosarcoma in a 40-year-old male who was presented to the clinic with left-sided great toe pain for 20 years. Simple radiographs showed acrolysis at the distal phalanx of great toe. Magnetic resonance imaging (MRI) revealed a 1.5 cm sized heterogenous high signal intensity mass on T2-weighted images and iso signal intensity on T1- weighted images. Dorsal and distal portion of the mass showed markedly dark signal intensity on T1 and T2-weighted images.

Conclusion

In an enhanced image, the mass showed heterogenous enhancement. Surgical removal was performed and pathologic analysis revealed fibrosarcoma. Although extremely rare, fibrosarcoma of the bone should be kept in mind as a possibility when a lesion exhibits a black signal intensity component on an MRI with acrolysis.

© 2024 The Author(s). Published by Bentham Open. This is an open access article published under CC BY 4.0 https://creativecommons.org/licenses/by/4.0/legalcode
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References

  1. World Health Organization (WHO) Classification of Tumours Editorial BoardSoft tissue and bone tumours.5th ed2020424425
    [Google Scholar]
  2. PapagelopoulosPJ GalanisE FrassicaFJ SimFH LarsonDR WoldLE Primary fibrosarcoma of bone: Outcome after primary surgical treatment.Clin Orthop Relat Res2000200037388103
    [Google Scholar]
  3. TaconisW.K. van RijsselT.G. Fibrosarcoma of long bones. A study of the significance of areas of malignant fibrous histiocytoma.J. Bone Joint Surg. Br.198567-B111111610.1302/0301‑620X.67B1.29818832981883
    [Google Scholar]
  4. EduardoS. RicardoK. FrancoB. Tumors and tumor-like lesions of bone.London, UKSpringer2015
    [Google Scholar]
  5. BlumeP.A. NiemiW.J. CourtrightD.J. GoreckiG.A. Fibrosarcoma of the foot: A case presentation and review of the literature.J. Foot Ankle Surg.1997361515410.1016/S1067‑2516(97)80011‑79031028
    [Google Scholar]
  6. SedaghatS. SchmitzF. KriegerA. SedaghatM. ReichardtB. Appearance of recurrent adult fibrosarcoma of the soft tissue and loco-regional post-treatment changes on MRI follow-up.Eur. J. Plast. Surg.20214419710210.1007/s00238‑020‑01669‑1
    [Google Scholar]
  7. InoueA. HasegawaT. IkataT. HizawaK. Fibrosarcoma of the toe: A destructive lesion of the distal phalanx.Clin. Orthop. Relat. Res.199633333323924410.1097/00003086‑199612000‑000268981902
    [Google Scholar]
  8. PritchardD.J. SouleE.H. TaylorW.F. IvinsJ.C. Fibrosarcoma—a clinicopathologic and statistical study of 199 tumors of the soft tissues of the extremities and trunk.Cancer197433388889710.1002/1097‑0142(197403)33:3<888::AID‑CNCR2820330339>3.0.CO;2‑C4815588
    [Google Scholar]
  9. WangH. NieP. DongC. LiJ. HuangY. HaoD. XuW. CT and MRI findings of soft tissue adult fibrosarcoma in extremities.BioMed Res. Int.201820181710.1155/2018/607570529693010
    [Google Scholar]
  10. SahuS. ShrivastavaS. NayakS. NayakP. Fibrosarcoma of maxilla: A rare case report.J. Oral Maxillofac. Pathol.201620116210.4103/0973‑029X.18098327194883
    [Google Scholar]
  11. BerkeleyR. AndreiV. SaifuddinA. The rare primary bone sarcomas: Imaging-pathological correlation.Skeletal Radiol.20215081491151110.1007/s00256‑020‑03692‑633410967
    [Google Scholar]
  12. KimO.H. KimS.J. KimJ.Y. RyuJ.H. ChooH.J. LeeS.J. LeeI.S. SuhK.J. Desmoplastic fibroma of bone in a toe: Radiographic and MRI findings.Korean J. Radiol.201314696396710.3348/kjr.2013.14.6.96324265574
    [Google Scholar]
  13. UrigoC. SchenkelM.C. AssalM. BianchiS. Calcified desmoplastic fibroblastoma of the foot: Imaging findings.Skeletal Radiol.201746456556910.1007/s00256‑017‑2575‑z28190096
    [Google Scholar]
  14. RuchelsmanD. LainoD. ChhorK. SteinerG. KenanS. Digital intraosseous epidermoid inclusion cyst of the distal phalanx.J. Hand Microsurg.201621242710.1007/s12593‑010‑0001‑z23129949
    [Google Scholar]
  15. DellenbaughS.G. WilkinsonL. AydoganU. Giant cell tumor of the distal phalanx of the great toe: A case report.Foot Ankle Spec.20147323624010.1177/193864001452209424521755
    [Google Scholar]
  16. StollerD.W. Magnetic resonance imaging in orthopaedics and sports medicine.Lippincott Williams & Wilkins2007
    [Google Scholar]
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  • Article Type:
    Case Report
Keyword(s): Fibrosarcoma; Hallux; Magnetic resonance imaging; Phalanx; Radiographs; T2-weighted
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