Case Report
 
Adamantinoma of tibia: A case report
Rahadyan Magetsari1, Yudha M. Sakti1, Asa I. Z. Asikin1, Zikrina A. Lanodiyu1 Punto Dewo1
1Department of Orthopaedics and Traumatology, Dr Sardjito General Hospital/ Faculty of Medicine, Universitas Gadjah Mada, Yogyakarta, Indonesia.

doi:10.5348/ijcri-2015102-CR-10563

Address correspondence to:
Zikrina A. Lanodiyu
MD, Department of Orthopaedics and Traumatology, Sardjito General Hospital / Universitas Gadjah Mada
Jalan Kesehatan no. 1
Yogyakarta 56281
Indonesia
Phone: +62 274 515054 Mob: +62 81 2277 2025
Fax: +62 274 553143

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How to cite this article
Magetsari R, Sakti YM, Asikin AIZ, Lanodiyu ZA, Dewo P. Adamantinoma of tibia: A case report. Int J Case Rep Images 2015;6(10):627–631.


Abstract
Introduction: Adamantinoma is one of the rarest low-grade malignant bone tumors, representing 0.4% of them with only around 300 documented case of it.
Case Report: We reported a rare case of primary adamantinoma of the tibia in a 35-year-old Indonesian mongoloid female which recurred after excision of the primary tumor seven years prior to admission.
Conclusion: Adamantinoma is hard to metastasize except in the case of repeated and unsatisfying removal procedure. Wide local excision with a substantial margin of normal bone can be applied if early diagnosis is successfully made. If there has been more than one recurrence or in large tumor with extension to the surrounding soft tissues, radical resection or amputation is advisable. After radical treatment, there is a high percentage of healing. The main factor of recurrence is incomplete resection.

Keywords: Adamantinoma, Bone tumors, Primary adamantinoma, Tibia, Recurrence


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Author Contributions
Rahadyan Magetsari – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Yudha M. Sakti – Acquisition of data, Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Asa IZ Asikin – Acquisition of data, Drafting the article, Final approval of the version to be published
Zikrina A. Lanodiyu – Substantial contributions to conception and design, Drafting the article, Final approval of the version to be published
Punto Dewo – Substantial contributions to conception and design, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Rahadyan Magetsari et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.