Chondroma surgery

Chondroma Microchapters
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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

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:
  • malignant transformation
  • Pathological fracture
• Enchondromas of the long bones are usually asymptomatic and do not require treatment. 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
• Wide local excision is a curative procedure for patients with periosteal 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

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