Desmoplastic Fibroma of the Skull

  • Kim, Kwan-Sik (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Noh, Jae-Sub (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Chung, Bong-Sub (Departments of Neurosurgery, Bundang Jesaeng General Hospital) ;
  • Shin, Mi-Kung (Departments of Pathology, Bundang Jesaeng General Hospital)
  • Published : 2006.05.30

Abstract

Desmoplastic fibromas are rare intraosseous bone tumors. They are benign but locally aggressive and frequently found in the long bones and mandible. We report radiographic and histopathologic finding of a case desmoplastic fibroma involving right temporal skull bone. A 53-year-old woman presented at our hospital complaining of continuous right side headaches for a year. Simple skull X-ray film showed $3{\times}2.5cm$ lytic lesion with mild sclerotic margin on right temporal area. A large craniectomy 1cm lateral to margin was fashioned. The resected mass showed encapsulated mass colored white gray. Histologic diagnosis was compatible with that of a the desmoplastic fibroma. There was no evidence of recurrence during the 15months of follow-up period.

Keywords

References

  1. Bertoni F, Calderoni P, Bacchini P, Campanacci M : Desmoplastic fibroma of bone. A report of 6 cases. J Bone Joint Surg 66B : 265-268, 1984
  2. Brooks MD, Ebbs SR, Colletta AA, Baum M : Dermoid tumors treated with triphenylethylenes. Eur J Cancer 28 : 1014-1018, 1992 https://doi.org/10.1016/0959-8049(92)90445-8
  3. Campanacci M : Desmoid fibroma (desmoplastic fibroma), in Bone and Soft Tissue Tumors, ed 2 : Clinical Features, Imaging, Pathology and Treatment. New York, Springer-Verlag, 1999, pp143-148
  4. Celli P, Cervoni L, Trillo G : Desmoplastic fibroma of the skull. Case report and review of the literature. Neurochirurgie 43 : 260-264, 1997
  5. Dutt SN, Mirza S, Irving RM, Jones EL : Desmoplastic fibroma of the temporal bone. J Laryngol Otol 114 : 314-317, 2000
  6. Gardini G, Minghetti G, Ferracini R : Desmoplastic fibroma of the frontal bone. Case presentation [in Italian]. Pathologica 70 : 575-579, 1978
  7. Gebhardt MC, Campbell CJ, Schiller AL, Mankin HJ : Desmoplastic fibroma of bone. A report of eight cases and review of the literature. J Bone Joint Surg 67A : 732-747, 1985
  8. George DI, Gould AR, Miller RL, Strull NJ : Desmoplastic fibroma of the maxilla. J Oral Maxillofac Surg 43 : 718-725, 1985 https://doi.org/10.1016/0278-2391(85)90199-5
  9. Goldberg AN, Janecka IP, Sekhar LN : Desmoplastic fibroma of the skull. A case report. Otolaryngol Head Neck Surg 12 : 589-591, 1995
  10. Hajdu SI, Hajdu EO : Fibrous tissue tumors, in Cytopathology of Soft Tissue and Bone Tumors. Basel, Karger, 1989, pp72-77
  11. Haney J, Olson PN, Griffiths HJ : The clinical and radiologist features of desmoplastic fibroma of bone. Orthopedics 17 : 80-85, 1994
  12. Hopkins KM, Huttula CS, Kahn MA, Albright JE : Desmoplastic fibroma of the mandible : Review and report on two cases. J Oral Maxillofac Surg 54 : 1249-1254, 1996 https://doi.org/10.1016/S0278-2391(96)90363-8
  13. Hufnagel TJ, Artiles C, Piepmeier JM, Kier L, Kim JH : Desmoplastic fibroma of the parietal bone simulating eosinophilic granuloma. J Neurosurg 67 : 449-451, 1987 https://doi.org/10.3171/jns.1987.67.3.0449
  14. Inwards CY, Unni KK, Beabout JW, Sim FH : Desmoplastic fibroma of bone. Cancer 68 : 1978-1983, 1991 https://doi.org/10.1002/1097-0142(19911101)68:9<1978::AID-CNCR2820680922>3.0.CO;2-H
  15. Jaffe HL : Tumors and Tumorous Conditions of the Bones and Joints. Philadelphia, Lea & Febiger, 1958, pp98-303
  16. Kim JH, Park JY, Jung YG, Suh JK, Kim SN, Suh YL : Desmoplastic fibroma of the skull. A case report, Review of the literature, and therapeutic implication. J Korean Neurosurg Soc 30 : 1037-1041, 2001
  17. Kransdorf MJ, Berquist TH : Musculoskeletal neoplasms, in Berquist TH (ed) : MRI of the Musculoskeletal System. Philadelphia, Lippincott Williams & Wilkins, 2001, pp891-893
  18. Okuno H, Yamamichi N, Watanabe I, Tokita N : Desmoplastic fibroma of the temporal bone. J Otolaryngol 19 : 311-314, 1990
  19. Ovul I, Oztop F, Zileli M : Congenital desmoplastic fibroma of the cranium. Childs Nerv Syst 4 : 45-46, 1988
  20. Pensak ML, Nestok BR, van Loveren H, Shumrick KA : Desmoplastic fibroma of the temporal bone. Am J Otol 18 : 627-631, 1997
  21. Rabin D, Ang LC, Megyesi J, Lee DH, Duggal N : Desmoplastic fibroma of the cranium : case report and review of the literature. Neurosurgery 52 : 950-954, 2003 https://doi.org/10.1227/01.NEU.0000053025.36216.3C
  22. Sanfilippo NJ, Wang GJ, Larner JM : Desmoplastic fibroma. A role for radiotherapy? South Med J 88 : 1267-1269, 1995 https://doi.org/10.1097/00007611-199512000-00016
  23. Selfa-Moreno S, Aran-Fernandez E, Fernandez-Latorre F, Diaz-Ramon C, Ricart-Rodrigo M, Moreno-Flores A : Desmoplastic fibroma of the skull. J Neurosurg 82 : 119-120, 1995 https://doi.org/10.3171/jns.1995.82.1.0119
  24. Taguchi N, Kaneda T : Desmoplastic fibroma of the mandible : report of a case. J Oral Surg 38 : 441-444, 1980 https://doi.org/10.1016/0030-4220(74)90372-7
  25. Triantafyllou NM, Triantafyllou DN, Antonados DN : Desmoid tumors of the bone. Int Surg 57 : 793-797, 1972
  26. Wilcken N, Tattersall HN : Endocrine therapy for desmoid tumors. Cancer 68 : 1384-1388, 1991 https://doi.org/10.1002/1097-0142(19910915)68:6<1384::AID-CNCR2820680634>3.0.CO;2-F