Xiangying Wang,1 Xiaodan Geng,2 Hui Zhang,3 Yun Liu,4 Zixuan Liu,5 Changsheng Yang1 

1Department of Orthopedic Oncology Surgery, Shandong Cancer Hospital and Institute Affiliated to Shandong First Medical University and Shandong Academy of Medical Science, Jinan, 250117, People’s Republic of China; 2Department of Radiology, Shandong Cancer Hospital and Institute Affiliated to Shandong First Medical University and Shandong Academy of Medical Science, Jinan, 250117, People’s Republic of China; 3Department of Medical Oncology, Shandong First Medical University Affiliated Cancer Hospital, Shandong Provincial Cancer Institute and Hospital, Shandong Provincial Tumor Hospital, Jinan, 250117, People’s Republic of China; 4Department of Gastrointestinal Surgery, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, 250021, People’s Republic of China; 5Department of Proctology, Beijing Shunyi Hospital, Beijing, 101300, People’s Republic of China

Correspondence: Changsheng Yang, Department of Orthopedic Oncology Surgery, Shandong Cancer Hospital and Institute Affiliated to Shandong First Medical University and Shandong Academy of Medical Science, Jinan, 250117, People’s Republic of China, Email yangcs521@126.com

Background: Juvenile xanthogranuloma is a rare condition, and femoral involvement is even rarer. We report a case of juvenile xanthogranuloma affecting the femur. To the best of our knowledge, this is the first reported case of femoral juvenile xanthogranuloma in China.
Case Presentation: A 19-year-old boy began experiencing swelling in various parts of his body at the age of 1 year, followed by pain in his left hip. Preoperative pathology and imaging indicated juvenile xanthogranuloma of the left femur, leading to surgical intervention. Postoperatively, the patient experienced significant relief from left hip discomfort.
Conclusion: Surgery can be an effective treatment for juvenile xanthogranuloma involving the femur.

Keywords: juvenile xanthogranuloma, femur, rare case