Chondromyxoid fibroma of bone presenting as chronic back pain

J Manipulative Physiol Ther. 1998 Oct;21(8):564-7.


Objective: To discuss a case of chondromyxoid fibroma presenting with low back pain.

Clinical features: A 50-yr-old man had an 8-yr history of low back pain. This was diagnosed and treated as arising from the disc and caused by spinal stenosis. Magnetic resonance imaging findings supported the clinical findings. Years later, a plain radiograph of the pelvis revealed an incidental abnormality of the right ilium, and the patient was subsequently referred to a musculoskeletal tumor center for treatment.

Intervention and outcome: The lesion was surgically removed and the defect was reconstructed via bone allograft.

Conclusion: Such tumors are a rare cause of back pain. Tumors of the pelvis can at times present as back pain. In cases of refractory back pain, an X-ray of the pelvis can be a useful screening investigation. Chondromyxoid fibromas are rare tumors best treated by excision if they are amenable or by curettage and bone grafting procedures.

Publication types

  • Case Reports

MeSH terms

  • Back Pain / etiology*
  • Bone Neoplasms / diagnosis*
  • Bone Neoplasms / diagnostic imaging
  • Chondroblastoma / diagnosis*
  • Chondroblastoma / diagnostic imaging
  • Diagnosis, Differential
  • Humans
  • Ilium*
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Radiography