Chondroma surgery: Difference between revisions
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===Enchondroma=== | ===Enchondroma=== | ||
*Enchondromas of the long bones are usually asymptomatic and do not require treatment. Treatment consists of observation with serial radiographs. | *Enchondromas of the long bones are usually asymptomatic and do not require treatment. Treatment consists of observation with serial [[Radiography|radiographs]]. | ||
*[[Curettage]] and [[histopathologic]] evaluation is usually reserved for patients with either: | *[[Curettage]] and [[histopathologic]] evaluation is usually reserved for patients with either: | ||
**Uncertain diagnosis | **Uncertain diagnosis | ||
**Lytic lesions | **Lytic lesions | ||
**Symptomatic and borderline in size | **Symptomatic and borderline in size | ||
**Suspicious lesions For patients with pathologic fractures | **Suspicious lesions For patients with [[Pathologic fracture|pathologic fractures]] | ||
*Curettage and grafting with optional internal fixation may be considered for multiple fractures, impending fracture, or painful lesions. | *[[Curettage]] and [[grafting]] with optional internal fixation may be considered for multiple [[Bone fracture|fractures]], impending [[Bone fracture|fracture]], or painful lesions. | ||
*Enchondroma | *Enchondroma usually does not progress or recur. | ||
===Periosteal Chondroma=== | ===Periosteal Chondroma=== | ||
*Juxtacortical chondrosarcomas can clinically and radiologically mimic these tumors. | *Juxtacortical [[Chondrosarcoma|chondrosarcomas]] can clinically and [[Radiological|radiologically]] mimic these tumors. | ||
*Wide local excision with bone grafting is a curative procedure for patients with [[periosteal chondroma]] with or without internal fixation is performed. | *Wide local [[excision]] with [[bone grafting]] is a curative procedure for patients with [[periosteal chondroma]] with or without internal fixation is performed. | ||
*Recurrence is unlikely. | *Recurrence is unlikely. | ||
Latest revision as of 19:34, 17 December 2018
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Chondroma Microchapters |
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Diagnosis |
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Treatment |
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Chondroma surgery On the Web |
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American Roentgen Ray Society Images of Chondroma surgery |
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]
Overview
Surgery is not the first-line treatment option for patients with asymptomatic and benign chondroma. Surgery is usually reserved for patients with either malignant transformation and pathological fracture.
Surgery
- Surgery is not the first-line treatment option for patients with asymptomatic and benign chondroma. Surgery is usually reserved for patients with either:[1][2][3][4][5]
- Malignant transformation
- Pathological fracture
Enchondroma
- Enchondromas of the long bones are usually asymptomatic and do not require treatment. Treatment consists of observation with serial radiographs.
- Curettage and histopathologic evaluation is usually reserved for patients with either:
- Uncertain diagnosis
- Lytic lesions
- Symptomatic and borderline in size
- Suspicious lesions For patients with pathologic fractures
- Curettage and grafting with optional internal fixation may be considered for multiple fractures, impending fracture, or painful lesions.
- Enchondroma usually does not progress or recur.
Periosteal Chondroma
- Juxtacortical chondrosarcomas can clinically and radiologically mimic these tumors.
- Wide local excision with bone grafting is a curative procedure for patients with periosteal chondroma with or without internal fixation is performed.
- Recurrence is unlikely.
Synovial Chondroma
- In synovial chondroma, depending on the symptoms, removal of loose bodies is required.
- In symptomatic patients with synovial chondroma, synovectomy is helpful to control the disease.
References
- ↑ Semenova LA, Bulycheva IV (2007). "[Chondromas (enchondroma, periosteal chondroma, enchondromatosis)]". Arkh Patol. 69 (5): 45–8. PMID 18074822.
- ↑ Peabody, Terrance (2014). Orthopaedic oncology : primary and metastatic tumors of the skeletal system. Cham: Springer. ISBN 9783319073224.
- ↑ Fahim DK, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A (2009). "Periosteal chondroma of the pediatric cervical spine". J Neurosurg Pediatr. 3 (2): 151–6. doi:10.3171/2008.11.PEDS08231. PMID 19278317.
- ↑ Agrawal A, Dwivedi SP, Joshi R, Gangane N (2005). "Osteochondroma of the sacrum with a correlative radiographic and histological evaluation". Pediatr Neurosurg. 41 (1): 46–8. doi:10.1159/000084865. PMID 15886513.
- ↑ Akansu B, Atık E, Altintaş S, Kalaci A, Canda S (2012). "Periosteal chondroma of the ischium; an unusual location". Turk Patoloji Derg. 28 (2): 172–4. doi:10.5146/tjpath.2012.01119. PMID 22627638.