DOI: 10.36347/sjams.2014.v02i01.0049

Pages: 231-233

Adamantinoma is a rare neoplasm representing less than 1% of all primary malignancies of bone. Here we are presenting a case of adamantinoma of right tibia with extra compartmental involvement. A 43 years male patient came to us with the complains of pain in the right leg since three years and was operated by prophylactic intramedullary interlocking nail one year back for the osteolytic lesion. Patient was evaluated for the lesion by X- ray, CT scan, MRI and open biopsy. The histopathological and Immunohistochemical examination confirms the diagnosis of adamantinoma. Workup for secondaries was negative. As the lesion was extra compartmental and limb salvage was not possible hence treated him with above knee amputation. Histopathological and Immunohistochemistry examination confirms the diagnosis. If the adamantinoma is extra compartmental limb salvage procedures are not useful for the better prognosis hence amputation to be considered.