Chondroma x ray: Difference between revisions
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==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. | 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== | ||
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**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 | ||
| Line 23: | Line 23: | ||
*'''Enchondroma''' | *'''Enchondroma''' | ||
**Oval, well-circumscribed, central lucent lesion, with or without matrix calcifications | **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 | **May be expansion of the surrounding [[cortex]], especially when the lesion is in the hand or foot | ||
*'''Periosteal chondroma''' | *'''Periosteal chondroma''' | ||
**Small, scalloped, radiolucent lesions on the outer surface of the cortex in the metaphysis or diaphysis | **Small, scalloped, radiolucent lesions on the outer surface of the cortex in the [[metaphysis]] or [[diaphysis]] | ||
**Rim of sclerotic bone | **Rim of sclerotic bone | ||
**Calcification | **Calcification | ||
Revision as of 16:12, 26 April 2018
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Chondroma Microchapters |
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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: Farima Kahe M.D. [2] Soujanya Thummathati, MBBS [3]
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.