Learning objectives
To illustrate the spectrum of chondroid matrix lesions.
To present the different techniques: plain x-ray,
Computed Tomography (CT),
Magnetic Resonance (MRI) and PET/CT,
available for the study of chondroid matrix lesions and their role in the diagnostic procedures.
Anatomopathological correlation.
Background
Chondroid lesions are frequent incidental findings on musculoskeletal studies.Both benign and malignant chondroid lesions are found most commonly in the diaphysis,
followed by the metaphysis of long bones.
A cartilage lesion in an elderly patient,
a painful injury and an injury in the axial skeleton are more likely to be malignant.
In fact,
the clinical finding of localized pain not attributable to other causes is the most useful indicator of chondrosarcoma [1].
Solitary lesions on the hands and feet are probably benign.
Chondroid matrix is...
Findings and procedure details
We performed a research according to the CIE-9 and CIE-10 coding and the radiological information system (SIR/RIS) of the last 5 years in our institution.
We reviewed plain x-rays,
CT and MRI and in some occasions PET/CT of more tan 150 cases of chondroid matrix pathology.
We have selected the most representative cases and summarized the main imaging findings of the following chondroid matrix lesions according to the WHO 2013 classification [8] Fig. 5:
Chondrogenic tumors
A. Benign
1.
Osteochondroma (Fig. 6,
Fig. 7,
Fig....
Conclusion
We have presented a review about the chondroid matrix lesions.
Distinguishing between benign and malignant chondroid lesions can be a challenge.
However,
imaging techniques (plain X-rays,
CT and MRI) have played an important role in differentiating these lesions although in many cases histology is required for definitive diagnosis.
References
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