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Oncology
intermediate
X-Type

Adamantinoma - Tibial Bone Tumor Diagnosis and Management

Primary Bone Tumors

A 28-year-old man presents with a 2-year history of progressive anterior tibial pain and mild swelling. Radiographs show multiple radiolucent lesions with a "soap bubble" appearance in the anterior tibial cortex extending over 10cm. MRI confirms intracortical location with some medullary involvement. Biopsy reveals a biphasic tumor with epithelial nests and fibrous stroma, positive for cytokeratin on immunohistochemistry. Regarding adamantinoma of bone:

Mark each as TRUE or FALSE

A

Adamantinoma is a rare low-grade malignant epithelial tumor that occurs almost exclusively in the ti...

B

The classic radiographic appearance shows multiple radiolucent lesions in the tibial cortex with a "...

C

Histologically, adamantinoma consists only of spindle cells identical to fibrous dysplasia and is ne...

D

Adamantinoma has a characteristic biphasic histology with epithelial nests (basaloid, tubular, or sq...

E

Wide surgical resection (2-3cm margins) is the treatment of choice; local recurrence rates are 15-30...

Answer the questions to see explanations

Click T (True) or F (False) for each option