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Journal of Orthopaedic Case Reports Nov 2023Osteochondroma is the most common primary benign tumor and developmental osseous anomaly resulting in exophytic overgrowth on the surface of bone lined by hyaline...
INTRODUCTION
Osteochondroma is the most common primary benign tumor and developmental osseous anomaly resulting in exophytic overgrowth on the surface of bone lined by hyaline cartilage cap. In morphological view, they are sessile or pedunculated forms most commonly occurring in hip, scapula, humerus, and rarely, clavicle. X-ray, MRI angiogram are useful to know the bony, vascular pathology and histopathological investigation is the gold standard investigation to confirm the diagnosis.
CASE REPORT
A 30-year-old male patient presented to our department with pain and swelling over the right gluteal region followed by difficulty in walking in the past 3 months. On clinical and radiological examination, we observed the findings suggestive of osteochondroma, the patient was planned for excisional biopsy, and the material sent to histopathological examination which confirmed as osteochondroma.
CONCLUSION
Early diagnosis and excision of tumor prevent functional disability and malignant transformation and improve the life expectancy.
PubMed: 38025372
DOI: 10.13107/jocr.2023.v13.i11.4032 -
Journal of Orthopaedic Case Reports Nov 2023Osteochondroma is the most common benign bone tumor where a chondrogenic lesion is derived from aberrant cartilage from the perichondral ring. Although it commonly...
INTRODUCTION
Osteochondroma is the most common benign bone tumor where a chondrogenic lesion is derived from aberrant cartilage from the perichondral ring. Although it commonly arises from the growing ends of long bones, less commonly, it may arise from the scapula, pelvis, or vertebra.
CASE REPORT
We encountered a 16-year-old male patient with a painless left pelvic solid mass for 3 years, which was suggestive of osteochondroma on X-ray and magnetic resonance imaging findings. Besides cosmetic issues, the main indication for surgery was the constant discomfort in wearing pants/shorts/belts. He underwent en bloc excision followed by a biopsy of the surgical specimen by two independent histopathologists confirming the tumor to be osteochondroma. He was followed up for 2 years with no signs of post-operative complications or recurrence. This case represents one of the very few reported so affecting the iliac wing, where the excision was performed before skeletal maturation. We also performed a review of the current literature on iliac wing osteochondroma to understand the tumor better, identify gaps in current knowledge, and suggest areas for future research.
CONCLUSION
Since one of the differential diagnoses includes secondary chondrosarcoma, which could be a rare progression of osteochondroma, early recognition and comprehensive evaluation of such unusual cases needs to be dealt with a high index of suspicion to avoid misdiagnosis and to provide effective treatment.
PubMed: 38025355
DOI: 10.13107/jocr.2023.v13.i11.4000 -
Journal of Family Medicine and Primary... Sep 2023The management of benign bone lesions is controversial as it is dependent on a multitude of factors such as age, anatomic location, comorbidities, lesion metabolic...
INTRODUCTION
The management of benign bone lesions is controversial as it is dependent on a multitude of factors such as age, anatomic location, comorbidities, lesion metabolic activity, surgeon preferences, and goals of care, among others. Thus far, many studies have attempted to report on these lesions; however, most are heterogeneous compilations of benign and malignant lesions with nearly all failing to report patient treatment and none of which have originated from a suburban area of the United States. The goal of this study was to establish a modern database dedicated solely to benign bone tumors to reflect current diagnosis and treatment trends in suburban New York.
MATERIALS AND METHODS
This was a multicenter retrospective observational study with inclusion criteria limited to benign bone lesions of all ages. Malignant lesions were excluded. Patients were drawn from both primary care provider and surgeon records, with documentation of their associated management.
RESULTS
A total of 689 patients met inclusion criteria. The overall operative rate for this cohort was 71.6%. In agreement with current literature, aneurysmal bone cysts, giant cell tumors, and osteochondromas underwent surgery more frequently than enchondromas; older patients underwent surgery less frequently; benign bone lesions were more commonly found in younger males, and the distal femur and proximal tibia were the most common locations for lesions ( < .05 for all findings).
CONCLUSION
This study demonstrates the management of a globally representative variety of benign bone lesions in a diverse suburban population of New York and should facilitate future research on how lesion type, location, management, and other factors relate to patient outcomes.
PubMed: 38024888
DOI: 10.4103/jfmpc.jfmpc_5_23 -
Asian Journal of Surgery Feb 2024
Topics: Child; Humans; Exostoses, Multiple Hereditary; Osteochondroma; Bone Neoplasms
PubMed: 38008625
DOI: 10.1016/j.asjsur.2023.11.071 -
Asian Journal of Surgery Feb 2024
Topics: Humans; Metatarsal Bones; Bone Neoplasms; Osteochondroma; Soft Tissue Neoplasms; Cell Proliferation
PubMed: 37993312
DOI: 10.1016/j.asjsur.2023.11.023 -
Orthopedic Nursing
Topics: Humans; Tibia; Bone Neoplasms; Osteochondroma
PubMed: 37989162
DOI: 10.1097/NOR.0000000000000995 -
Orthopedic Nursing
Topics: Humans; Bone Neoplasms; Osteochondroma; Tibia; Male; Adult; Incidental Findings; Knee Injuries
PubMed: 37989161
DOI: 10.1097/NOR.0000000000000990 -
European Journal of Orthopaedic Surgery... Feb 2024Multiple hereditary exostosis (MHE) is a rare autosomal dominant disorder characterized by multiple osteochondromas. There is a paucity of literature concerning total...
BACKGROUND
Multiple hereditary exostosis (MHE) is a rare autosomal dominant disorder characterized by multiple osteochondromas. There is a paucity of literature concerning total hip arthroplasty (THA) in patients with MHE. The aim of this study is to report long-term outcomes of THA in patients with MHE.
METHODS
Fourteen patients undergoing 15 THA's for the treatment of osteoarthritis in the presence of osteochondromas and proximal femoral deformity secondary to MHE were reviewed. Mean age at the time of surgery and follow-up was 56 and 12 years. Seven (47%) had uncemented femoral components. Eleven hips had coxa valga on preoperative imaging. Clinical outcomes were assessed with both Harris hip scores (HHS) and Musculoskeletal Tumor Society Scores (MSTS).
RESULTS
Following surgery, there was an improvement in the HHS (48-82, p < 0.01) and MSTS scores (41-70%, p < 0.01). Complications occurred in 5 patients leading to reoperation in 3 patients, of which 2 patients underwent a revision procedure at 19 and 20-years postoperative. The 10-year revision free survival was 100%.
CONCLUSIONS
THA in the setting of MHE reliably improves patient function. One in three patients will have a postoperative complication; however, the long-term incidence of revision is low.
Topics: Humans; Arthroplasty, Replacement, Hip; Hip Joint; Exostoses, Multiple Hereditary; Treatment Outcome; Coxa Valga; Reoperation; Retrospective Studies; Hip Prosthesis; Follow-Up Studies
PubMed: 37978058
DOI: 10.1007/s00590-023-03780-y -
Parosteal Lipoma Overlying an Osteochondroma of the Hyoid Bone: A Case Report and Literature Review.The Laryngoscope Jun 2024Parosteal lipomas and osteochondromas of the head and neck are uncommon benign tumors, constituting a small fraction of lipoma and bone tumor cases. We present a unique... (Review)
Review
Parosteal lipomas and osteochondromas of the head and neck are uncommon benign tumors, constituting a small fraction of lipoma and bone tumor cases. We present a unique case of a 66-year-old male with a parosteal lipoma overlying an osteochondroma in the anterior midline neck, causing dysphagia. Surgical excision confirmed the diagnosis, and a literature review revealed similar cases predominantly adjacent to the mandible or calvaria. This case emphasizes the need to have parosteal lipoma and osteochondroma on the differential diagnosis for patients presenting with a firm mass of the central neck, especially with a history of trauma. Laryngoscope, 134:2844-2847, 2024.
Topics: Humans; Male; Lipoma; Osteochondroma; Aged; Hyoid Bone; Bone Neoplasms; Diagnosis, Differential; Head and Neck Neoplasms; Tomography, X-Ray Computed
PubMed: 37965970
DOI: 10.1002/lary.31192 -
Medicine Nov 2023Osteochondroma is one of the most common primary benign bone tumors. In most cases, this disease is asymptomatic. However, it may become symptomatic owing to nerve and...
RATIONALE
Osteochondroma is one of the most common primary benign bone tumors. In most cases, this disease is asymptomatic. However, it may become symptomatic owing to nerve and vascular compression when it affects the knee joint. Isolated tibial nerve palsy caused by proximal fibular osteochondroma is rare.
PATIENTS CONCERNS
A 60-year-old male, was treated for degenerative arthritis of the right knee, referred to the right great toe flexion limitation that occurred 3 weeks prior.
DIAGNOSES
Magnetic resonance imaging revealed compression of the tibial nerve and surrounding muscles due to an osseous lesion in the fibular head. A nerve conduction test confirmed tibial neuropathy in the right lower leg.
INTERVENTIONS
Exploratory surgery was performed to decompress the tibial nerve and remove the bony lesion histopathologically diagnosed as an osteochondroma.
OUTCOMES
Fifty-five months postoperatively, toe flexion recovered to normal. No recurrence of osteochondroma was observed.
LESSONS
As in our case, if a bony lesion is diagnosed on radiographs with neurological symptoms, early decompression surgery is necessary. Moreover, since it can be misdiagnosed as a simple bony spur, magnetic resonance imaging and tissue biopsy are also indicated.
Topics: Male; Humans; Middle Aged; Leg; Fibula; Bone Neoplasms; Tibial Neuropathy; Osteochondroma; Tibial Nerve
PubMed: 37960723
DOI: 10.1097/MD.0000000000036059