Sarcopedia

IntermediateBone

Fibrocartilaginous Mesenchymoma

Very rare - often misdiagnosed

Quick Facts

Behaviour

Intermediate

Category

Bone

Category

Bone

Behaviour

Intermediate

Gender

Male

Tissue of Origin

Cartilage

Epidemiology

  • Very rare tumour of bone
  • Children and young adults
  • Male predominance
  • Metaphyseal location

Clinical Features

  • Pain and swelling
  • Metaphyseal mass in child or young adult

Location

  • Metaphysis of long bones (femur, tibia)
  • Rib

Imaging

  • Lytic lesion with fibrocartilaginous matrix
  • Cortical destruction possible

Pathology

  • Fibrocartilaginous lobules with spindle cell stroma
  • Cartilage islands in fibrous background

Genetics

Limited data

Treatment

Surgical excision with curettage or en bloc resection

Prognosis

  • Locally aggressive - recurrence possible
  • Very limited data on outcomes

Key Points

  • Very rare - often misdiagnosed
  • Fibrocartilaginous matrix in metaphysis of children
  • Locally aggressive behaviour

Workup - Blood Tests

FBC, bone profile

Workup - Local Imaging

  • Plain radiograph
  • MRI

Workup - Biopsy

Core needle biopsy

Medical disclaimer

The content on Sarcopedia is for educational and informational purposes only and does not constitute medical advice. It is not intended to be a substitute for professional medical diagnosis or treatment. Always consult with a qualified physician regarding any health concerns or before starting any new treatment. Reliance on any information provided on this site is solely at your own risk.