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Year : 1981  |  Volume : 15  |  Issue : 1  |  Page : 88-92

Fibrosarcoma Arising From Osteomyelitic Sinus Of Tibia-A Case Report And Review of Literature

Correspondence Address:
R Bhalla

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Malignant transformation of chronic discharging osteomyelitic sinuses is well known. Its incidence is found to be 0.23 per cent (Mc Anally and Dockerty 1949) to 0.5 per cent (Benedict 1931).Sarcomas arising in chronic draining sinuses of osteomyelitis are much less frequent as compared to carcinomas (Henderson and Swart 1936, Jaffe 1958, Cruickshank et al. 1963, Denham and Dingley 1963, Brewer et al. 1976). Of the sarcomas, angiosarcoma, rhabdomyo-sarcoma, granulation tissue sarcoma, reticulum cell sarcoma, myeloma and fibroblastic osteosarcoma have been reported which are highly malignant (Cruickshank et al. 1963, Johnston and Miles 1973, Lidgren 1973, Brewer et al. 1976). Amongst sarcomas from draining sinuses, fibrosarcoma carries the best prognosis. A review of literature revealed only 5 well documented cases of fibrosarcoma developing from chronic sinuses of osteomyelitis (Kirshbaum 1949, Waugh 1952, Jaffe 1958, Denham and Dingley 1963, Morris and Lucas 1964, Akbarnia et al. 1976).This case was considered worth recording because of its rarity.

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