Chondroma x ray: Difference between revisions
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**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: | ||
**Poor definition | **Poor definition | ||
**Cortical destruction ("moth-eaten" or permeative pattern) | **Cortical destruction ("moth-eaten" or permeative pattern) | ||
| Line 20: | Line 20: | ||
**Extension into the soft tissue | **Extension into the soft tissue | ||
**Large size | **Large size | ||
*X-ray findings of each subtype are mentioned as followings: | |||
*'''Osteoid osteoma''' | |||
**Small, round lucency (nidus) with a sclerotic margin | |||
*'''Osteoblastoma''' | |||
**Similar to osteoid osteoma but is usually larger (>2 cm in diameter) | |||
**Rarely extend into the soft tissues | |||
*'''Osteochondroma and hereditary multiple osteochondromas''' | |||
**Bony spur (sometimes large) that arises from the surface of the cortex and usually points away from the joint | |||
*'''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 | |||
*'''Chondroblastoma''' | |||
**Small, well-defined lesions with a sclerotic border that may cross the physis (growth plate) | |||
*'''Chondromyxoid fibroma''' | |||
**Eccentric, intramedullary, lobulated or bubbly lesion in the metaphysis | |||
*'''Fibrous dysplasia''' | |||
**Lytic lesion in the metaphysis or diaphysis with a "ground glass" appearance | |||
**Cortical bone is thinned with a scalloped, undulating pattern due to endosteal erosion | |||
*'''Ossifying fibroma''' | |||
**Lytic thinning of the diaphyseal cortical bone with interspersed sclerosis | |||
**Anterior or anterolateral bowing | |||
*'''Nonossifying fibroma''' | |||
**Small, well-defined, eccentric, expansile, lytic lesions located in the metaphysis with scalloped sclerotic border | |||
*'''Unicameral bone cyst''' | |||
**Well-marginated cystic lesions of the metaphysis or metadiaphysis without reactive sclerosis | |||
==References== | ==References== | ||
Revision as of 18:52, 18 April 2018
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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: Soujanya Thummathati, MBBS [2]
Overview
On x rays, enchondroma is characterized by lytic lesions that contain calcified chondroid matrix.[1] On x rays, periosteal chondroma is characterized by matrix calcification with ring and arc pattern and saucerisation of the adjacent bony cortex with a sclerotic periosteal reaction.[2]
X Ray Findings
- An x-ray may be helpful in the diagnosis of chondroma. Findings on an x-ray suggestive of chondroma include:
- 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
- X-ray findings of each subtype are mentioned as followings:
- Osteoid osteoma
- Small, round lucency (nidus) with a sclerotic margin
- Osteoblastoma
- Similar to osteoid osteoma but is usually larger (>2 cm in diameter)
- Rarely extend into the soft tissues
- Osteochondroma and hereditary multiple osteochondromas
- Bony spur (sometimes large) that arises from the surface of the cortex and usually points away from the joint
- 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
- Chondroblastoma
- Small, well-defined lesions with a sclerotic border that may cross the physis (growth plate)
- Chondromyxoid fibroma
- Eccentric, intramedullary, lobulated or bubbly lesion in the metaphysis
- Fibrous dysplasia
- Lytic lesion in the metaphysis or diaphysis with a "ground glass" appearance
- Cortical bone is thinned with a scalloped, undulating pattern due to endosteal erosion
- Ossifying fibroma
- Lytic thinning of the diaphyseal cortical bone with interspersed sclerosis
- Anterior or anterolateral bowing
- Nonossifying fibroma
- Small, well-defined, eccentric, expansile, lytic lesions located in the metaphysis with scalloped sclerotic border
- Unicameral bone cyst
- Well-marginated cystic lesions of the metaphysis or metadiaphysis without reactive sclerosis
References
- ↑ Enchondroma. Wikipedia. https://en.wikipedia.org/wiki/Enchondroma Accessed on December 22, 2015.
- ↑ Juxta cortical chondroma. Radiopedia. http://radiopaedia.org/articles/juxta-cortical-chondroma Accessed on December 22, 2015