Tumeurs bénignes épiphysométaphysaires

The treatment of epiphyso-metaphyseal benign tumours of bone is not univocal and is based on tumour's identification and evolution. These tumours are classified according to the type of the proliferating tissue (osseous, cartilaginous or fibrous), but none of them demonstrate histological and cytological characteristic of malignant tumours. There is no concern about vital prognosis and the therapist must not use extensive procedures in case of mildly aggressive tumours. The treatment is often limited to simple follow-up or radio-guided excision. Conversely, local aggressiveness may need rapid excision, mostly by intralesional excision and rarely by wide excision with reconstruction. Although benign, these tumours need meticulousness at each step of the diagnosis and the therapeutic management. A well-informed orthopaedic surgeon may manage most of these tumours but any doubt must be verified by a consultation in a specialized orthopaedic department.