Chondroma x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Chondroma}} | {{Chondroma}} | ||
{{CMG}}{{AE}} {{STM}} | {{CMG}}; {{AE}} {{Rohan}}, {{F.K}}, {{STM}} | ||
==Overview== | ==Overview== | ||
Findings on an x-ray suggestive of chondroma include well-defined or sclerotic border, sharp zone of transition, confinement by natural barriers, lack of destruction of the [[cortex]] and lack of extension into the [[soft tissue]]. | |||
==X Ray Findings== | ==X Ray Findings== | ||
* | *X-ray may be helpful in the diagnosis of chondroma. Findings on an x-ray suggestive of chondroma include:<ref name="pmid18328980">{{cite journal |vauthors=Pannier S, Legeai-Mallet L |title=Hereditary multiple exostoses and enchondromatosis |journal=Best Pract Res Clin Rheumatol |volume=22 |issue=1 |pages=45–54 |date=March 2008 |pmid=18328980 |doi=10.1016/j.berh.2007.12.004 |url=}}</ref><ref name="pmid16995932">{{cite journal |vauthors=Silve C, Jüppner H |title=Ollier disease |journal=Orphanet J Rare Dis |volume=1 |issue= |pages=37 |date=September 2006 |pmid=16995932 |pmc=1592482 |doi=10.1186/1750-1172-1-37 |url=}}</ref><ref name="pmid16624212">{{cite journal |vauthors=Gajewski DA, Burnette JB, Murphey MD, Temple HT |title=Differentiating clinical and radiographic features of enchondroma and secondary chondrosarcoma in the foot |journal=Foot Ankle Int |volume=27 |issue=4 |pages=240–4 |date=April 2006 |pmid=16624212 |doi=10.1177/107110070602700403 |url=}}</ref><ref name="pmid9308471">{{cite journal |vauthors=Geirnaerdt MJ, Hermans J, Bloem JL, Kroon HM, Pope TL, Taminiau AH, Hogendoorn PC |title=Usefulness of radiography in differentiating enchondroma from central grade 1 chondrosarcoma |journal=AJR Am J Roentgenol |volume=169 |issue=4 |pages=1097–104 |date=October 1997 |pmid=9308471 |doi=10.2214/ajr.169.4.9308471 |url=}}</ref><ref name="pmid15116654">{{cite journal |vauthors=Weiner SD |title=Enchondroma and chondrosarcoma of bone: clinical, radiologic, and histologic differentiation |journal=Instr Course Lect |volume=53 |issue= |pages=645–9 |date=2004 |pmid=15116654 |doi= |url=}}</ref><ref name="pmid23955368">{{cite journal |vauthors=Miller SF |title=Imaging features of juxtacortical chondroma in children |journal=Pediatr Radiol |volume=44 |issue=1 |pages=56–63 |date=January 2014 |pmid=23955368 |doi=10.1007/s00247-013-2770-6 |url=}}</ref> | ||
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[[File:Xray chondroma.gif|300px|thumb|X-ray of knee showing chondroma.[https://radiopaedia.org/cases/periosteal-chondroma-1?lang=us Source: Case courtesy of Dr Brian Gilcrease-Garcia, Radiopaedia.org, rID: 56933]]] | |||
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**Well-defined or sclerotic border | **Well-defined or sclerotic border | ||
**Sharp zone of transition | **Sharp zone of transition | ||
**Small size or multiple lesions | **Small size or multiple lesions | ||
**Confinement by natural barriers | **Confinement by natural barriers | ||
**Lack of destruction of the cortex | **Lack of destruction of the [[cortex]] | ||
**Lack of extension into the soft tissue | **Lack of extension into the soft tissue | ||
*Following x-ray findings are suggestive of more aggresive lesion: | *Following x-ray findings are suggestive of more aggresive lesion: | ||
**Poor definition | **Poor definition | ||
**Cortical destruction ("moth-eaten" or permeative pattern) | **Cortical destruction ("moth-eaten" or permeative pattern) | ||
**Spiculated or interrupted periosteal reaction | **Spiculated or interrupted [[periosteal reaction]] | ||
**Extension into the soft tissue | **Extension into the soft tissue | ||
**Large size | **Large size | ||
=== '''Enchondroma''' === | |||
:*Oval, well-circumscribed, central lucent lesion, with or without matrix calcifications | |||
:*May be expansion of the surrounding [[cortex]], especially when the lesion is in the hand or foot | |||
=== '''Periosteal chondroma''' === | |||
:*Small, scalloped, radiolucent lesions on the outer surface of the cortex in the [[metaphysis]] or [[diaphysis]] | |||
:*Rim of sclerotic bone | |||
:*Calcification | |||
==References== | ==References== | ||
Latest revision as of 18:08, 24 January 2019
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Chondroma Microchapters |
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Diagnosis |
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Treatment |
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Chondroma x ray On the Web |
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American Roentgen Ray Society Images of Chondroma x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2], Farima Kahe M.D. [3], Soujanya Thummathati, MBBS [4]
Overview
Findings on an x-ray suggestive of chondroma include well-defined or sclerotic border, sharp zone of transition, confinement by natural barriers, lack of destruction of the cortex and lack of extension into the soft tissue.
X Ray Findings
- X-ray may be helpful in the diagnosis of chondroma. Findings on an x-ray suggestive of chondroma include:[1][2][3][4][5][6]
 |
- Well-defined or sclerotic border
- Sharp zone of transition
- Small size or multiple lesions
- Confinement by natural barriers
- Lack of destruction of the cortex
- Lack of extension into the soft tissue
- Following x-ray findings are suggestive of more aggresive lesion:
- Poor definition
- Cortical destruction ("moth-eaten" or permeative pattern)
- Spiculated or interrupted periosteal reaction
- Extension into the soft tissue
- Large size
Enchondroma
- Oval, well-circumscribed, central lucent lesion, with or without matrix calcifications
- May be expansion of the surrounding cortex, especially when the lesion is in the hand or foot
Periosteal chondroma
- Small, scalloped, radiolucent lesions on the outer surface of the cortex in the metaphysis or diaphysis
- Rim of sclerotic bone
- Calcification
References
- ↑ Pannier S, Legeai-Mallet L (March 2008). "Hereditary multiple exostoses and enchondromatosis". Best Pract Res Clin Rheumatol. 22 (1): 45–54. doi:10.1016/j.berh.2007.12.004. PMID 18328980.
- ↑ Silve C, Jüppner H (September 2006). "Ollier disease". Orphanet J Rare Dis. 1: 37. doi:10.1186/1750-1172-1-37. PMC 1592482. PMID 16995932.
- ↑ Gajewski DA, Burnette JB, Murphey MD, Temple HT (April 2006). "Differentiating clinical and radiographic features of enchondroma and secondary chondrosarcoma in the foot". Foot Ankle Int. 27 (4): 240–4. doi:10.1177/107110070602700403. PMID 16624212.
- ↑ Geirnaerdt MJ, Hermans J, Bloem JL, Kroon HM, Pope TL, Taminiau AH, Hogendoorn PC (October 1997). "Usefulness of radiography in differentiating enchondroma from central grade 1 chondrosarcoma". AJR Am J Roentgenol. 169 (4): 1097–104. doi:10.2214/ajr.169.4.9308471. PMID 9308471.
- ↑ Weiner SD (2004). "Enchondroma and chondrosarcoma of bone: clinical, radiologic, and histologic differentiation". Instr Course Lect. 53: 645–9. PMID 15116654.
- ↑ Miller SF (January 2014). "Imaging features of juxtacortical chondroma in children". Pediatr Radiol. 44 (1): 56–63. doi:10.1007/s00247-013-2770-6. PMID 23955368.