Chondromyxoid fibroma of bone presenting as chronic back pain.

Abstract

OBJECTIVE:

To discuss a case of chondromyxoid fibroma presenting with low back pain.

CLINICAL FEATURES:

A 50-yr-old man had an 8-yr history of low back pain. This was diagnosed and treated as arising from the disc and caused by spinal stenosis. Magnetic resonance imaging findings supported the clinical findings. Years later, a plain radiograph of the pelvis revealed an incidental abnormality of the right ilium, and the patient was subsequently referred to a musculoskeletal tumor center for treatment.

INTERVENTION AND OUTCOME:

The lesion was surgically removed and the defect was reconstructed via bone allograft.

CONCLUSION:

Such tumors are a rare cause of back pain. Tumors of the pelvis can at times present as back pain. In cases of refractory back pain, an X-ray of the pelvis can be a useful screening investigation. Chondromyxoid fibromas are rare tumors best treated by excision if they are amenable or by curettage and bone grafting procedures.

• Authors: R G Schmidt, C S Reddy, T D Applegate, M Ghabra
• Journal: Journal of manipulative and physiological therapeutics (J Manipulative Physiol Ther) Vol. 21 Issue 8 Pg. 564-7 (Oct 1998) ISSN: 0161-4754 [Print] United States
• PMID: 9798185 (Publication Type: Case Reports, Journal Article)

Topics

• Back Pain (etiology)
• Bone Neoplasms (diagnosis, diagnostic imaging)
• Chondroblastoma (diagnosis, diagnostic imaging)
• Diagnosis, Differential
• Humans
• Ilium
• Magnetic Resonance Imaging
• Male
• Middle Aged
• Radiography