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Fibrous dysplasia with locally aggressive malignant change

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Summary

This is a case report of a tumour which showed all the histological features of fibrous dysplasia without any features of high-grade malignancy, yet had become locally aggressive, causing cortical erosion and extension into soft tissue. Fibrous dysplasia is a well-recognised enitity that encompasses monostotic lesions, polyostotic involvement and Albright's syndrome [6, 8]. Lesions in bone usually spare the epiphysis before puberty, but often involve the epiphyseal area after maturity and can progress during adult life [3]. Unless cystic [6, 10] or malignant change [7, 10, 11] occurs, fibrous dysplasia usually remains contained within bone.

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Latham, P.D., Athanasouz, N.A. & Woods, C.G. Fibrous dysplasia with locally aggressive malignant change. Arch Orthop Trauma Surg 111, 183–186 (1992). https://doi.org/10.1007/BF00388097

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