Osteochondroma surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
* Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).<ref name="pmid10992031">{{cite journal |vauthors=Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH |title=Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation |journal=Radiographics : a Review Publication of the Radiological Society of North America, Inc |volume=20 |issue=5 |pages=1407–34 |year=2000 |pmid=10992031 |doi=10.1148/radiographics.20.5.g00se171407 |url=http://pubs.rsna.org/doi/10.1148/radiographics.20.5.g00se171407?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref> | * Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).<ref name="pmid10992031">{{cite journal |vauthors=Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH |title=Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation |journal=Radiographics : a Review Publication of the Radiological Society of North America, Inc |volume=20 |issue=5 |pages=1407–34 |year=2000 |pmid=10992031 |doi=10.1148/radiographics.20.5.g00se171407 |url=http://pubs.rsna.org/doi/10.1148/radiographics.20.5.g00se171407?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%3dpubmed}}</ref> | ||
* This approach decreases the chance of the tumoral recurrence | * This approach decreases the chance of the tumoral recurrence | ||
* Pedunculated osteochondromas are more easily removed | * Pedunculated osteochondromas are more easily removed | ||
* [[Solitary]] osteochondromas are not removed surgically; observation surveillance is suggested.<ref name="pmid18853760">{{cite journal |vauthors=Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M |title=Osteochondromas: review of the clinical, radiological and pathological features |journal=In Vivo (Athens, Greece) |volume=22 |issue=5 |pages=633–46 |year=2008 |pmid=18853760 |doi= |url=http://iv.iiarjournals.org/cgi/pmidlookup?view=long&pmid=18853760}}</ref> | * [[Solitary]] osteochondromas are not removed surgically; observation surveillance is suggested.<ref name="pmid18853760">{{cite journal |vauthors=Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M |title=Osteochondromas: review of the clinical, radiological and pathological features |journal=In Vivo (Athens, Greece) |volume=22 |issue=5 |pages=633–46 |year=2008 |pmid=18853760 |doi= |url=http://iv.iiarjournals.org/cgi/pmidlookup?view=long&pmid=18853760}}</ref> | ||
* Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | * Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.<ref name="wikibook">Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016</ref> | ||
Revision as of 15:06, 9 February 2016
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Maria Fernanda Villarreal, M.D. [2]
Overview
Surgery is the mainstay of therapy for osteochondroma. Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).[1]
Surgery
- Surgery for osteochondroma should be considered, until bone growth is complete (assessed by mature skeleton x-ray evaluation).[2]
- This approach decreases the chance of the tumoral recurrence
- Pedunculated osteochondromas are more easily removed
- Solitary osteochondromas are not removed surgically; observation surveillance is suggested.[3]
- Transformation to chondrosarcoma is generally treated with wide surgical resection and limb salvage.[1]
Indications
Indications for surgery for osteochondroma, include:[2]
- Pain with physical activity
- Bone deformity
- Limited range of motion
- Compromised nerve or blood vessel
- Irregular large cap of cartilage (> 2cm)[1]
References
- ↑ 1.0 1.1 1.2 Diagnostic Radiology: Musculoskeletal Imaging: Osteochondroma. WikiBooks.(2015)https://en.wikibooks.org/wiki/Diagnostic_Radiology/Musculoskeletal_Imaging/Tumors_Basic/Osteochondroma Accessed on January 28, 2016
- ↑ 2.0 2.1 Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH (2000). "Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation". Radiographics : a Review Publication of the Radiological Society of North America, Inc. 20 (5): 1407–34. doi:10.1148/radiographics.20.5.g00se171407. PMID 10992031.
- ↑ Kitsoulis P, Galani V, Stefanaki K, Paraskevas G, Karatzias G, Agnantis NJ, Bai M (2008). "Osteochondromas: review of the clinical, radiological and pathological features". In Vivo (Athens, Greece). 22 (5): 633–46. PMID 18853760.