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Distal Tibia


                                                   Local Tenderness
- Nonossifying fibroma (common)
- Ewing's sarcoma: (common) ----------------------------- Yes
     (diaphyseal region);
- Eosinophilic granuloma -------------------------------- Yes
- Aneurysmal bone cyst
- Giant Cell Tumor of Bone; ----------------------------- Yes
- Fibrous Histiocytoma
- Fibrosarcoma of bone; --------------------------------- Yes
- Adamantinoma
- Osteoma: middle 1/3 (rare)
- Desmoplastic fibroma (rare)


The Treatment of Lower Extremity Sarcomas With Wide Excision, Radiotherapy, and Free-Flap Reconstruction.