eMedicine Specialties > Radiology > Musculoskeletal

Chondromyxoid Fibroma: Follow-up

Author: Gregory Scott Stacy, MD, Assistant Professor, Department of Radiology, University of Chicago Hospitals
Coauthor(s): John George, MD, Chief of Staff, Karol Marcinkowski University of Medical Sciences
Contributor Information and Disclosures

Updated: Mar 17, 2009

Intervention

Treatment in patients with CMF usually involves curettage or en bloc resection, with a preference for en bloc resection. Radiation therapy is contraindicated because of the risk of inducing malignancy. Periodic follow-up studies are indicated because of the significant recurrence rate of CMFs.

Medicolegal Pitfalls

  • Patients with CMF present with generic symptoms that are very similar to those of other benign and malignant bone tumors.
  • Imaging findings may be suggestive of CMF, but ultimately, an analysis of biopsy specimens is required for a definitive diagnosis.
  • The lesion shares some imaging features with chondrosarcoma, which is treated more aggressively.

Special Concerns

  • The recurrence of CMF after curettage has been documented in numerous patients. Most recurrent tumors are observed in patients younger than 20 years. Recurrent tumors retain the histologic and gross characteristics of the original tumor.
 


More on Chondromyxoid Fibroma

Overview: Chondromyxoid Fibroma
Imaging: Chondromyxoid Fibroma
Follow-up: Chondromyxoid Fibroma
Multimedia: Chondromyxoid Fibroma
References
Further Reading
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References

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Keywords

chondromyxoid fibroma, CMF, fibromyxoid chondroma, myxofibrous chondroma, primary osseous neoplasm, benign bone tumor, osseous tumor, lower extremity tumor

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Contributor Information and Disclosures

Author

Gregory Scott Stacy, MD, Assistant Professor, Department of Radiology, University of Chicago Hospitals
Gregory Scott Stacy, MD is a member of the following medical societies: American College of Radiology, American Medical Association, American Roentgen Ray Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Coauthor(s)

John George, MD, Chief of Staff, Karol Marcinkowski University of Medical Sciences
Disclosure: Nothing to disclose.

Medical Editor

Michael A Bruno, MD, Associate Professor, Departments of Radiology and Medicine, Pennsylvania State University College of Medicine; Director, Radiology Quality Management Services, Milton S Hershey Medical Center, Pennsylvania State University College of Medicine
Michael A Bruno, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, Society of Nuclear Medicine, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Murali Sundaram, MBBS, FRCR, FACR, Consulting Staff, Department of Diagnostic Radiology, The Cleveland Clinic Foundation
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

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