BMJ Case Reports 2011; doi:10.1136/bcr.06.2011.4318
  • Rare disease

Adamantinoma of the tibia and fibula with pulmonary metastasis: an unusual presentation

  1. Hamza Essaddem1
  1. 1Orthopedics Department, La Rabta Hospital, Tunis, Tunisia
  2. 2Rheumatology Department, La Rabta Hospital, Tunis, Tunisia
  3. 3Radiology Department, La Rabta Hospital, Tunis, Tunisia
  4. 4Histology Department, Salah Azaiez Institute, Tunis, Tunisia
  1. Correspondence to Dr Dalila Mrabet, mrabetdalila{at}


Adamantinoma is a rare tumour of long bones, representing less than 1% of them. Adamantinoma commonly occurs in the tibia. It is locally aggressive and recurrences are uncommon after resection. Metastases have been reported in less than 10% of cases. The most common radiographic appearance is multiple sharply demarcated radiolucent lesions surrounded by areas of dense sclerotic bone. The authors report a patient who developed pulmonary metastasis 1 year after complete resection of primary neoplasm.


  • Competing interests None.

  • Patient consent Obtained.

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