Rabin D, Ang LC, Megyesi J, Lee DH, Duggal N. Desmoplastic fibroma of the cranium: case report and review of the literature.
Neurosurgery 2003;
52:950-4; discussion 954. [PMID:
12657192 DOI:
10.1227/01.neu.0000053025.36216.3c]
[Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2002] [Accepted: 12/04/2002] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE AND IMPORTANCE
Desmoplastic fibroma is a benign bone tumor that can be locally aggressive. It usually occurs in the long bones and mandible. We report on a patient with a desmoplastic fibroma arising in the temporal bone and review previously published cases of desmoplastic fibroma originating within the cranium.
CLINICAL PRESENTATION
A 43-year-old woman presented with a 12-year history of progressively worsening head asymmetry. Magnetic resonance imaging and computed tomography demonstrated a mass originating from the bone and involving the adjacent soft tissues.
INTERVENTION
A temporal parietal craniectomy was performed with excision of a large tumor involving the bone. An acrylic cranioplasty was used to replace the bone. Pathological examination of the lesion identified desmoplastic fibroma of the cranium. After surgery, the patient's cranial asymmetry was corrected.
CONCLUSION
Desmoplastic fibroma of the cranium is rare. Surgical resection is the treatment of choice.
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