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Non-ossifying fibroma
Etiology:

• Unknown
Pathogenesis:

• Probably represent developmental defects, rather than neoplasms.
Epidemiology:

• Extremely common.
• Found in as many as 30 to 50% of children older than two years.
General Gross Description:

• Usually found in the lower limb.
• Found to arise eccentrically from the metaphysis of the bones around the knee joint.
General Microscopic Description:

• Histologically composed of benign fibroblasts.
• Frequently associated with foamy macrophages.
Clinical Correlations:

• Asymptomatic.
• Radiologically produce sharply demarcated lucent areas in bone.
• Usually found as an incidental, asymptomatic finding on routine x-rays.
• Results spontaneously, and are replaced by normal bone.
• May result in pathological fracture, if they do not spontaneously resolve.
References:
•Robbins "Pathologic Basis of Disease". (Cotran, Kumar and Robbins, Eds.) 5th Edition. pp 1241.