Adamantinoma arising in the distal end of the fibula
Shinichirou Yoshida,
Takashi Murakami,
Kentarou Suzuki,
Shigemi Itou,
Munenori Watanuki,
Masami Hosaka,
Yoshihiro Hagiwara
Affiliations
Shinichirou Yoshida
Department of Orthopedic Surgery, Miyagi Cancer Center, Natori; Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, Sendai
Takashi Murakami
Department of Orthopedic Surgery, Miyagi Cancer Center, Natori
Kentarou Suzuki
Department of Orthopedic Surgery, Miyagi Cancer Center, Natori
Shigemi Itou
Department of Diagnostic Pathology, Miyagi Cancer Center, Natori
Munenori Watanuki
Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, Sendai
Masami Hosaka
Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, Sendai
Yoshihiro Hagiwara
Department of Orthopedic Surgery, Tohoku University Graduate School of Medicine, Sendai
Adamantinoma is a rare, low-grade, malignant bone tumor. It frequently occurs in the tibia but rarely arise in the distal end of the fibula. This study reported a case of adamantinoma arising in the distal end of the fibula, resulting in good prognosis. A 38-year old female felt left ankle pain, and was suspected as having a bone tumor at the distal end of the fibula by X-ray. She was diagnosed as the classical adamantinoma of the fibula by open biopsy. En bloc wide resection of the tumor, primary arthrodesis of the ankle was performed. During the follow- up period of 7 years after the surgery, she has lived without any metastasis and local recurrence. A wide resection and arthrodesis of the ankle joint can provide a good outcome for adamantinoma arising in the end of the fibula.
