Enchondroma Protuberans of Ulnar Bone: A Case Report and Review of Literature (original) (raw)
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Recurrent enchondroma protuberans : A case report. Discussion
The Journal of Hand Surgery, 2005
Enchondroma protuberans is a rare benign tumor. We present a case of late recurrence of a previously reported enchondroma protuberans in the hand. This was treated successfully with curettage and calcium carbonate grafting.
Recurrent Enchondroma Protuberans: A Case Report
The Journal of Hand Surgery, 2005
Enchondroma protuberans is a rare benign tumor. We present a case of late recurrence of a previously reported enchondroma protuberans in the hand. This was treated successfully with curettage and calcium carbonate grafting.
Midterm MRI Follow-Up of Untreated Enchondroma and Atypical Cartilaginous Tumors in the Long Bones
Cancers
Management of atypical cartilaginous tumors (ACTs) in the long bones is shifting towards active surveillance to avoid unnecessary surgeries. The frequency and duration of active surveillance for these tumors is unclear as there is little knowledge of its biological behavior. In this retrospective study, we examined the natural course of enchondroma and ACTs through active surveillance. A total of 128 central cartilaginous tumors, located in the long bones, with a minimum interval of 24 months between baseline and last MRI were included. MRI characteristics (e.g., size, scalloping, fat entrapment) were scored and tumors were classified according to the changes between MRIs. Mean follow-up of this study was 50 months, range = 25–138 months. The majority of the cartilaginous tumors (87%) remained stable (n = 65) or showed regression (n = 46) on MRI. A total of 87% of the cases that developed tumor regression presented with entrapped fat at diagnosis. Only 13% (n = 17) showed some progr...
2011
Enchondromas, the second most common osseous neoplasms, are benign mature hyaline cartilaginous neoplasms that are usually solitary lesions in intramedullary bone. Enchondromas of the long bones are usually asymptomatic and often identified radiographically as an incidental finding. Pain is the most commonly encountered symptom. The most common clinical presentations are impingement syndrome and rotator cuff tears, respectively. The characteristic radiographic appearance is solitary lucent lesion in the diaphyseal part of short tubular bone or in the metaphyseal part of the long bones. We present a case of a 23 year old woman with humeral enchondroma in this case report. Özet Enkondrom kemiğin medüller kavitesi içinde gelişen yaygın görülen benign hyalin kartilajinöz neoplazmdır. Uzun kemik enkondromları genellikle asemptomatiktir ve tesadüfen bulunurlar. Ağrı en yaygın ortaya çıkan semptomdur. Ağrı olmayan hastalarda lezyon genellikle diğer sağlık problemleri araştırılırken tesadüf...
Osseous tumor of the hand: finger enchondroma
Eplasty, 2015
Keywords: hand bone tumor, enchondroma, digit, demineralized bone matrix, Maffucci syndrome Figure 1. Radiographs of the left hand with an expansile lytic lesion within the midshaft of the ring finger proximal phalanx with endosteal scalloping and thinning of the surrounding cortex.
A Solitary Enchondroma of the Great Toe in an Adolescent Male: A Case Report
Cureus, 2022
Solitary enchondromas are benign and usually asymptomatic. Enchondromas are a form of cartilage tumor and have a higher chance of converting into chondrosarcoma. It is difficult to obtain a valid risk estimate, as this requires histopathology and MRI reports. A 17-year-old male presented with swelling over the left great toe since six months, which was insidious in onset, gradually progressive, and associated with intermittent dull aching type of pain. Physical examination revealed bony hard swelling of size 3 x 2.5cm over the left great toe. X-ray was suggestive of lytic lesions, scalloping of the cortex, and whorl of calcification. After confirming the diagnosis through MRI and histopathological examination, the decision was taken to remove whole of the proximal phalanx along with the tumor. Gap was filled up with fibular strut graft. Solitary enchondromas that are aggressively increasing in size should be treated surgically. Bone gap (between the first metatarsal and distal phalanx) caused after removing the tumor can be filled with bone graft or cement depending on the condition of the cortex.
Cartilaginous tumours and calcified lesions of the hand: a pictorial review
Diagnostic and interventional imaging, 2013
Cartilaginous tumours of the extremities are commonly seen in radiographs. Enchondroma is the most frequently encountered tumour. Since the vast majority of enchondromas are asymptomatic, they are typically discovered as incidental findings or along with a pathologic fracture. The authors propose a pictorial review to illustrate the imaging features of cartilaginous bone lesions of the hand and their specificities, and discuss the main differential diagnoses.
Tumeurs cartilagineuses et lésions calcifiées de la main : revue iconographique
Journal de Radiologie Diagnostique et Interventionnelle, 2013
Cartilaginous tumours of the extremities are commonly seen in radiographs. Enchondroma is the most frequently encountered tumour. Since the vast majority of enchondromas are asymptomatic, they are typically discovered as incidental findings or along with a pathologic fracture. The authors propose a pictorial review to illustrate the imaging features of cartilaginous bone lesions of the hand and their specificities, and discuss the main differential diagnoses.
Bizarre parosteal osteochondromatous proliferation of the ulna
European Journal of Radiology Extra, 2008
In research on tumors of mesenchymal origin, although the type localized in the short, tubular bones has been evaluated in detail, there have been no reports to date regarding the clinical, radiological and treatment characteristics of the type localized in the long bones. In this study, Nora's lesions localized in the long bones were investigated in terms of their characteristics and behavior. An extensive literature review was performed using PubMed, MEDLINE (1983MEDLINE ( -2012 and Google Scholar. Search terms included ''bizarre parosteal osteochondromatous proliferation'' (BPOP) and ''Nora's lesion''. The literature search yielded 88 articles and a total of 43 patients. The median age of the cases was 26 years. BPOP occurred with equal frequency in men and women. The most frequent sites of involvement were the femur (25%) and the ulna (23%). Plain radiographs of 20 cases were available, but only a small number of cases had CTs (n = 11) and MRIs (n = 12) performed. It was determined that 66% of the lesions led to cortical changes, while 23.5% led to medullary invasion or soft tissue infiltration. As to treatments, "simple excision" (intralesional) was performed on seven lesions, marginal resection was performed in nine patients, wide resection was performed in two patients, "shark-bite" surgery was performed in one patient and "shave excision" was performed in one patient. The mean follow-up period was 30.9 months. Local recurrence rate was 18.75%. Clinically and in terms of radiological images, we believe that this lesion observed in the long bones consists of four phases: stages I, II, III and IV. We believe this type of lesion demonstrates no spontaneous recovery, and that it is a progressive lesion involving cortical destruction and medullary infiltration. As such, we consider marginal resection to be the appropriate technique for treating this lesion.
Journal of contemporary medicine, 2022
To determine the prevalence of enchondromas (EC) in adults as incidental findings in the long bones of the upper extremities and the bones of the hand on magnetic resonance imaging (MRI). Material and Method: A retrospective review of upper extremity MRI scans for the presence of incidental EC in patients older than 18 years was performed. EC location, size, and appearance were defined. Age, gender, MRI region, side, most common symptom, eccentric or central location in the bone, affected finger, presence of biopsy, presence of trauma history,and size of enchondroma were evaluated. Results: A total of 9713 upper extremity MRIs were evaluated. In our study, the prevalence of EC in the entire upper extremity was 1.2% with MRIs that performed for upper extremity bones only. EC was most commonly seen in MR imaging of the hand. The proximal phalanx was the most commonly affected bone. Often presentin the third and fourth decades of life and the ulnar side of long bones were affected. In our study, the overall prevalence of hand EC was 4.8%. While the incidence of hand enchondromas was 5.8% in females, it was 4.1% in males. The incidence of enchondromas in the hand was approximately 5.77 times higher than in the shoulder. Conclusion: This study suggests that with the prevalence of EC, as determined by MR imaging, the hand should continue to be considered the most common site for enchondromas.