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Indian Journal of Pathology and Microbiology
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CASE REPORT
Year : 2008  |  Volume : 51  |  Issue : 4  |  Page : 538-540

Polymorphic fibro-osseous lesion of the bone: A case report with review of literature


1 Department of Pathology, Kasturba Medical College, Manipal, India
2 Department of Orthopedics, KVG Medical College, Sullia, India

Correspondence Address:
Anuradha C.K Rao
Department of Pathology, Basic Sciences Block, II Floor, KMC, Manipal, Karnataka 576 104
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0377-4929.43754

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A polymorphic fibro-osseous lesion of the bone is a benign fibro-osseous lesion of the bone with a marked predilection for the proximal femur and characterized by a complex mixture of histological elements. We present one such case of a 35-year-old female with spontaneous onset of pain in the left hip for 3 months and trauma sustained a year ago. An examination revealed tenderness with painful movements over the anterior aspect of the left hip joint and trochanter. A clinico-radiological differential diagnosis of simple bone cyst or fibrous dysplasia was entertained. A microscopic examination of the lesion with clinico-radiologic correlation led to the diagnosis of a polymorphic fibro-osseous lesion. This is a genuine clinico-pathologic entity that is usually asymptomatic with a rare history of trauma or hip pain. It has a distinctive histopathological picture with a better prognosis than its mimics.


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