Learning objectives
Toacquire basic and advance clinical and radiological knowldge of both the chondroid tumours Enchondroma and Chondrosarcoma.
Toknow differentiation between these two clinically and radiologically as many times histological findings are inconclusive.
To apply statistically significant criteria in further management.
Background
Enchondromas,
also known as chondromas,are relatively common intramedullary cartilage neoplasms with benign imaging features.
They share histologic features with low-grade chondrosarcoma,
and are sometimes classified under the umbrella termlow grade chondral series tumors.
While enchondroma is a benign tumor and chondrosarcomaisa malignant,
low aggressiveness tumor.
Enchondromahas a peak incidence in age10-30 years and is the most common primary benign bone tumour of hand/wrist.
Enchondromas are typically located in a central or eccentric position within the medullary cavity of tubular bones,
most commonly in small tubular...
Findings and procedure details
Distinction between low grade chondrosarcoma and Enchondroma remains a challenge for specialists in bone and soft tissue sarcomas.
Followingclinical and radiographic features should be taken in account:
Clinical:
Pain
Only clinical feature showing statistical relationship with LGC has been pain with palpation.
Consider that the presence of pain with palpation or inflammatory pain should make the clinician perform further imaging studies for a more accurate decision-making.
Plain Radiograph
Both tumors have a pop corn-Like appearance together with “Rings and Arcs” pattern.
More than five cm...
Conclusion
Distinction between enchondroma and low-grade chondrosarcomaremains a challenge for any specialist on musculoskeletal sarcomas management including orthopaedic surgeons,
pathologists,
and radiologists.
Even in the most expert hands,
these two entities can lead to a wrong diagnosis and,
as a consequence,
to an unsuitable treatment.
The biopsy does not provide always an accurate result and radiology plays a pivotal role in further management.
Followingclinical and radiographic features should be taken in account and found to be statistically significant.
Clinical:
1.
pain
Radiological:
1.
Endosteal scalloping
2....
Personal information
Dr.
Jay Thakkar
2nd Year Resident,
Dept.
Of Radiodiagnosis and Interventional Radiology,
Tata Memorial Hospital,
Parel,
Mumbai,
India.
References
1.
Murphey MD,
Flemming DJ,
Boyea SR,
Bojescul JA,
Sweet DE,
Temple HT.
Enchondroma versus chondrosarcoma in the appendicular skeleton: differentiating features.
Radiographics.
1998;18(5):1213–1237.
2.
Geirnaardt MJ,
Hermans J,
Bloem JL,
et al.
Usefulness of radiography in differentiating enchondroma from central grade I chondrosarcoma.
American Journal of Roentgenology.
1997;169(4):1097–1104.
3.
Enchondroma versus Chondrosarcoma in Long Bones of Appendicular Skeleton: Clinical and Radiological Criteria—A Follow-Up.
Eugenio M.
Ferrer-Santacreu,
Eduardo J.
Ortiz-Cruz,
Mariana Díaz-Almirón,
Jose Juan Pozo Kreilinger
J Oncol.
2016; 2016: 8262079.
Published online 2016 Feb...