Imaging features of periosteal chondroma manifesting as a subcutaneous mass in the index finger hidetomokosaka, 1 junnishio, 1 taikimatsunaga, 1 mikikoaoki, 2 hiroshiiwasaki, 2 andmasatoshinaito 1 department of orthopaedic surgery, faculty of medicine, fukuoka university, nanakuma, jonanku,fukuoka,j apan. There is limited literature and limited cases reported of soft tissue. Periosteal chondroma arising in the ischium is an extremely rare event. In this article, the authors describe a new case in which a chondroma of the nasal bone caused an external nasal deformity in. The radiographic features of 22 cases of histologically proven periosteal chondroma are analized in detail. Merge pdf online combine pdf files for free foxit software.
Chondromyxoid fibroma cmf one of the rarest of bone tumors, accounting for less than 1% of all bone tumors. Final preparation was performed following placement of a glassionomer barrier and additional composite resin as. The size of reported periosteal chondrosarcomas range, 314 cm. Periosteal chondrosarcoma, also known as juxtacortical chondrosarcoma, is a rare malignant cartilaginous tumor arising from the external surface of bone 14. Our pdf merger allows you to quickly combine multiple pdf files into one single pdf document, in just a few clicks. A total of 7 cases with abnormal karyotypes have been reported table 1. Periosteal chondroma also known as parosteal chondroma or juxtacortical chondroma is a benign neoplasm arises from the periosteum on the bone surface and a chondral lineage 1. Physical examination revealed a slightly protuberant, subcutaneous mass. Combine multiple pdf files into one pdf, try foxit pdf merge tool online free and easy to use. A case report pradeep gade1,krishnaveni chunduru2,u.
Chondromachondrosarcoma of the spine sciencedirect. A case report suk ki jang 1, hyeok jin hong 1, eun mee han 2, su min kang 1, jin young yoo 1, in oak ahn 1 intracapsular and paraarticular chondroma is a rare benign lesion of the large joints mostly the knee. It is relatively rare and much less common than enchondroma, accounting for around 2% of chondromas 2. Chromosomal abnormalities involving the 12qq15 chromosomal region may be associated with chondroma, especially softtissue chondroma. Cytogenetics studies of periosteal chondromas are scarse. Imaging features of periosteal chondroma manifesting as a. Soda pdf merge tool allows you to combine two or more documents into a single pdf file for free. Softtissue chondroma is a rare, benign, slowgrowing tumor made up of heterotopic cartilaginous tissue. The authors present a case ofperiosteal chondroma of the proximal humerus. Original article periosteal chondroma of the proximal. Periosteal juxtacortical chondroma is a slow growing benign cartilaginous tumor, arising within or underneath the periosteum, external to the.
Men are twice more likely to have a chondroma than women, and lesions typically present between the third and fifth decades of life. Tumor biology rare, slowgrowing, benign, generally active cartilage lesion not known to metastasize arises on the surface of bone with underlying cortical scalloping age second through fourth decades gender m. Oral softtissue chondromas are uncommon and softtissue chondroma of gingiva is extremely uncommon. A benign neoplasm of bone surface composed of hyaline cartilage. Inasmuch as their account of 6 cases involving the hands, long bones, and feet provided the only complete clinical, radiologic, surgical, and pathologic description of the condition, it was felt that. Tumor cells chondrocytes, cartilaginous cells resemble. Combine multiple pdf files into one single pdf document. One of the most common locations is the metaphyseal region of short tubular bones of hands and feet. Softtissue chondroma is a benign cartilageforming tumor,usually arising from tenosynovial sheaths or the soft tissue adjacent to tendons in the hands and feet, usually without any connection to the underlying bone. Combine pdfs in the order you want with the easiest pdf merger available.
Case report imaging features of periosteal chondroma. The mr images nicely demonstrate the lesion originat. This includes the medullary cavity enchondroma and the cortical surface periosteal chondroma. Periosteal chondroma of the scapula is an extremely rare disease. Periosteal chondroma medigoo health medical tests and. It arises beneath the periosteum and is characterized by the presence of chondrocytes, a lobulated growth pattern, and calcification. The vertebral column was reconstructed with anteriorposterior. The typical tumor consisted in an area of outer cortex remodeling scalloping involving the metaphyseal lesion of a long bone with slightly overhanging edges and a small amount of cartilage calcified matrix adjacent to the scalloping. In xrays, a periosteal chondroma shows up as a soft tissue shadow with erosion of the underlying bone. We present a unique case of periosteal chondroma arising in the proximal phalanx of the left index finger in a 12yearold boy.
The proximal humerus is the single most frequently affected site followed by the distal femur. Pdf merge combinejoin pdf files online for free soda pdf. Periosteal and soft tissue chondromas are rare benign cartilage neoplasms that have the same basic pathology as the enchondroma except their location 1. Predominantly sited in the fingers, it is usually solitary, develops in adults, and may causes pain. Concurrent soft tissue chondroma and periosteal chondroma of thumb 258 european journal of general medicine case a 34yearold man presented with a hard mass on the radial aspect of left thumb. Juxtacortical or surface tumors are broadly defined as those arising adjacent to the outer surface of cortical bone. Magne 90 the american journal of esthetic dentistry figs 3a and 3b a elevated distal margin used to facilitate endodontic r etreatment. These tests provide clear pictures of dense structures like bone, and are helpful in diagnosing chondromas. Difficult to differentiate from periosteal chondrosarcoma periosteal chondrosarcomas are usually greater than 6cm and periosteal chondromas are usually less than 6 cm radiographic presentation. Benign tumours are usually climically asymptomatic, found incidentally on xray investigation.
Apr 20, 2018 juxtacortical or surface tumors are broadly defined as those arising adjacent to the outer surface of cortical bone. Periosteal chondroma is a slow growing benign cartilaginous tumor of bone. Intracapsular and paraarticular chondroma of the infrapatellar hoffas fat pad. Here, we report a case of periosteal chondroma arising in the scapula of an 11yearold chinese girl. The current study reports the case of periosteal chondroma located in the distal femur of a 14yearold female. A periosteal chondroma develops on the surface of bone, out of the periosteum, which is a strong membrane that covers bones. We report a case of intracapsular and paraarticular. Periosteal chondroma and periosteal chondrosarcoma. In october 1952 and may 1953, we had the opportunity of making a preoperative diagnosis of periosteal chondroma, an entity which was described in detail by lichtenstein and hall 1 in july 1952. They are called enchondromas when they occur within the medullary cavity of tubular bones.
Periosteal chondroma can be seen from children to adults in all age groups, is located in the backbone of long bones or metaphysis, mostly occur in the proximal humerus. Introduction periosteal chondroma is an unusual, slowgrowing benign cartilaginous tumour of bone in the periosteal region. Juxtacortical chondroma jcc is a rare benign cartilaginous tumor originating from the periosteum 1. However, periosteal chondrosarcomas are generally larger, occur in an older population, and tend to permeate the underlying bone with formation of bony spicules extending out from the cortex 2, 17, 34. Periosteal chondroma of the fifth toe a case report. Lichtenstein and hall 9 first described it as arising between periosteum and cortex in 1952. Jan 23, 2015 periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. In order to accurately diagnose either type of chondroma, your doctor will order imaging or tissue tests.
Is petct an accurate method for the differential diagnosis between chondroma and chondrosarcoma springerplus. Here you can read posts from all over the web from people who wrote about chondroma and pain, and check the relations between chondroma and pain. You were so generous to give up your time on a weekend to operate on my femur. Chondroma is a benign tumor of mature hyaline cartilage. This tumor accounts for less than 2% of all chondrosarcomas and 0.
Wittig, i am writing at a loss to find adequate words to thank you for all that you have done for me. A chondroma is a benign cartilaginous tumor, which is encapsulated with a lobular growing pattern. Male patients are more commonly affected than female patients. Interactionsbetweenthegingiva andthemarginofrestorations. Periosteal chondroma is a rare benign hyaline cartilage neoplasm that occurs most commonly in the metaphases of long tubular bones. Case report periosteal chondroma of the proximal humerus.
Periosteal chondroma definition of periosteal chondroma by. Chondromas are benign tumors composed of mature hyaline cartilage. Schinz, baensch, friedl, and uehlinger 3 briefly refer to parosteal chondromas, which may be the softtissue phase of the same entity or perhaps a form of extraperiosteal chondroma. This simple webbased tool lets you merge pdf files in batches. This website is intended for pathologists and laboratory personnel, who understand that medical information is imperfect and must be interpreted using reasonable medical judgment. Introduction soft tissue chondromas are rare, slowly progressing benign cartilaginous tumors that probably arise from the fibrous stroma and not from mature cartilaginous or osseous tissue. We report a rare case of periosteal chondroma arising from the left clavicle of a 56 year old male. Periosteal and soft tissue chondromas orthoinfo aaos. Bone tumours which produce chondroid matrix, at least focally.
As lichtenstein pointed out, mason 2 used the term periosteal chondroma in a paper on tumors of the hand in 1937. Periosteal chondromas are rare benign cartilaginous tumors that arise adjacent to the cortex beneath the periosteum. Chondromas can be labeled according to their site of origin. The authors document an even more infrequent occurrence of a recurrent periosteal chondroma in the cervical spine of a 6yearold boy. Additionally, if the mass is in the early stages of periosteum chondroma formation, the cortex may not yet be eroded, making it nearly impossible for a ct scan to distinguish between cc and periosteal chondroma based on this characteristic. Here, we report an unusual case of softtissue chondroma of gingiva in a 50yearold woman. Periosteal chondroma is a benign hyaline cartilage tumor of the bone surface that develops from the periosteum. The small lytic mass associated with the anterolateral cortex of the tibia metaphysis shows evidence of chondroidtype mineralization by radiography rings and arcs pattern of calcification. Review of musculoskeletal radiology teaching files on the internet. Department of histopathology, madint zayed hospital, uae. Plain radiographs and computed tomography scans showed a. They generally have limited growth potential and are not locally.
The current study reports the case of periosteal chondroma located in the distal femur of a. Nov 12, 2017 softtissue chondroma is a rare, benign, slowgrowing tumor made up of heterotopic cartilaginous tissue. A giant periosteal chondroma of the distal femur successfully. Periosteal chondroma is one type of chondroma, occurred in the surface of bone, the periosteum, the tendons and ligament. Jaffe 6 coined the term juxtacortical chondroma in 1956. The term juxtacortical chondroma was first coined by jaffe in 1956. Pathology outlines juxtacortical periosteal chondroma. Juxtacortical chondrosarcoma radiology reference article.
The clinical presentation of periosteal chondromas is varied. These surface lesions may arise from any of the mesenchymal elements present along the bone surface or from the pleuripotent cells found within the periosteum. Enchondroma is a type of benign noncancerous tumor that begins in the cartilage found inside the bones. Here, we describe a 17yearold boy who had a giant periosteal chondroma of the right distal femur, which was treated with intralesional resection and intensive curettage. Department of surgery, ghayathi hospital, abu dhabi, uae, 2. It was diagnosed as periosteal chondroma histologically. If you are looking for a way to combine two or more pdfs into a single file, try pdfchef for free. So far, this is the second case of its kind to ever be reported at ghayathi hospital. The girl presented with a mass in her left scapula that was noticed several months ago and gradually enlarged without pain. Biologic behaviour range from benign lesions to highly malignant neoplasms. Periosteal chondroma is a benign cartilaginous tumour that is less common than enchondroma and rarely arises at the hand.
Typically covered by a thin shell of reactive, often ossified periosteum. In a crosssectional study of 4 periodontitis patients, wang et al. Jul 11, 2019 chromosomal abnormalities involving the 12qq15 chromosomal region may be associated with chondroma, especially softtissue chondroma. Benign and malignant cartilage tumors of bone and joint. Periosteal chondroma of the pediatric cervical spine. This free online tool allows to combine multiple pdf or image files into a single pdf document. Bone tumours atlases high resolution pathology images. The exact cause of periosteal chondromas is unknown. Periosteal chondroma is a rare benign tumor of hyaline cartilage. In this article, the authors describe a new case in which a chondroma of the nasal bone caused an external nasal deformity in a 17yearold boy. Rare usually 3 cm or less surface of long bone or small bones of hand feet usually teens to twenties, more common in males sites.
Chondroma is a benign tumor of mature hyaline cartilage of mesenchymal origin. Boriani s, bacchini p, bertoni f, campanacci m 1983 periosteal chondroma. No consistent abnormality has been detected, although we observed one case of a periosteal chondroma with a t2. Juxtacortical chondroma was first discovered by lichtenstein and hall in 1952. Chondromas are benign tumours, rare in the head and neck area. Since the first case report by morgan in 1842, approximately 150 cases of head and neck chondroma have been recorded in the englishlanguage literature. Periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location. Periosteal chondroma of the ischium turkish journal of pathology. During the operation, a giant 7 cmin diameter periosteal chondroma with involvement of the c5 and c6 vertebral bodies was resected. Of periodontolgy,gitam dental college and hospital 3. It occurs most commonly in the third and fourth decades in the hands and feet. We could only find one reported case in the english literature of periosteal chondroma arising from the research and to the best of our knowledge, this is the second reported case.
503 595 101 1360 673 1288 605 959 791 1540 1501 1259 1197 940 738 1034 845 1635 1172 1090 1122 640 832 556 1298 1436 108 180 1453 970 760 1216