Periosteal chondroma is a benign hyaline cartilage tumor of the bone surface that develops from the periosteum. Concurrent soft tissue chondroma and periosteal chondroma of thumb 260 european journal of general medicine surfacetype chondrosarcoma that would continue to grow after bone maturity. By definition, periosteal chondroma must arise from the periosteum and result in pressure changes in the adjacent cortex. Plain radiographs and computed tomography scans showed a. Periosteal chondroma, chondroma, humerus case report periosteal chondroma is a slowgrowing benign cartilaginous tumor of limited size arising within or under the periosteum, which through constant pressure induces cortical erosion and periosteal reaction. Physical examination revealed a slightly protuberant, subcutaneous mass. Periosteal chondroma childrens hospital of philadelphia. A giant periosteal chondroma of the distal femur successfully. Periosteal chondroma is a benign tumor accounting for less than 2% of all chondromas 1. Imaging features of periosteal chondroma manifesting as a.
Benign and malignant cartilage tumors of bone and joint. Periosteal chondroma of the sacrum canadian journal of. Periosteal chondroma and periosteal chondrosarcoma. After the evaluation, a radiologic diagnosis of chondroma or chondrosarcoma was obtained. The typical tumor consisted in an area of outer cortex remodeling scalloping involving the metaphyseal lesion of a long bone with slightly overhanging edges and a small amount of cartilage calcified matrix adjacent to the scalloping. It is the periosteal counterpart of medullary enchondroma.
Periosteal chondroma, tibia introduction periosteal juxtacortical chondroma is a slow growing benign cartilaginous tumor, arising within or underneath the periosteum, external to the cortical bone. Robinson et al 3 suggested that the main distinctive feature of periosteal chondromas and chondrosarcomas is their size. Periosteal chondroma is a slowgrowing benign cartilaginous tumor of limited size arising within or under the periosteum, which, through constant pressure, induces cortical erosion and periosteal. From the initial pool of 171 cases, 8 cases were reclassified and discarded. Wittig, i am writing at a loss to find adequate words to thank you for all that you have done for me. Clinical, radiographic and pathological investigations were necessary to establish the diagnosis. Periosteal chondroma is a rare benign hyaline cartilage neoplasm that occurs most commonly in the metaphases of long tubular bones. Periosteal chondroma can be seen from children to adults in all age groups, is located in the backbone of. A periosteal chondroma develops on the surface of bone, out of the periosteum, which is a strong membrane that covers bones.
Pdf on feb 20, 2019, praveen pandey and others published periosteal chondroma of radius diaphysisrare presentation find, read and. They can also show up in the small bones of the hands, feet, upper arms, thighs and ribs. Periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location. The first description of periosteal chondroma was published by keiller 1 in. Periosteal chondroma is a rare, benign tumor on the surface of the bone.
We herein report a case of periosteal chondroma in a 41yearold male who presented with gait disturbance and. Loss of bcatenin induces multifocal periosteal chondroma. If they form in the marrow cavity of bones, they are called enchondromas. Male patients are more commonly affected than female patients. Pdf periosteal chondroma of radius diaphysisrare presentation. It was first described by lichtenstein and hall in a report of six cases. This tumor accounts for less than 2% of all chondrosarcomas and 0. Periosteal hand chondromas 282 rev ortop traumatol madr. Periosteal chondroma definition of periosteal chondroma. The radiographic features of 22 cases of histologically proven periosteal chondroma are analized in detail. Periosteal chondroma, also known as juxtacortical chondroma, is a rare benign cartilaginous neoplasm of bone surface that occurs. The lesion was originally described by lichtenstein and hall in. Periosteal chondroma as a subcutaneous mass in the third finger. We report a case of periosteal chondroma of the clavicle.
Nov 22, 2014 periosteal chondromas are rare benign cartilaginous tumors that arise adjacent to the cortex beneath the periosteum. Chondrosarcoma of small bones of the hands and feet. Fifty percent of periosteal chondromas occur in the long bone of the arm. Periosteal chondroma medigoo health medical tests and. However, it is known that benign periosteal or juxtacortical chondromas can have atypia. Roentgenograms reveal a small softtissue mass and an associated cortical excavation with a sclerotic border.
Lewis ml, kenan s, santiago my, norman a, steiner g. If calcium flecks are deposited in the lesion, its cartilaginous origin becomes obvious. Inasmuch as their account of 6 cases involving the hands, long bones, and feet provided the only complete clinical, radiologic, surgical, and pathologic description of the condition, it was felt that. Pathology outlines juxtacortical periosteal chondroma. They usually grow slowly and develop in the sinuses and the bones of the skull. Hecht,di chen,k masato yamamoto, satoru toyosawa,yy john p. We present a unique case of periosteal chondroma arising in the proximal phalanx of the left index finger in a 12yearold boy. Periosteal chondromas juxtacortical chondromas, are slow growing, rare cartilaginous lesion that arises adjacent to the cortex beneath the periosteum. Case report periosteal chondroma of the scapula penetrating into. Difficult to differentiate from periosteal chondrosarcoma periosteal chondrosarcomas are usually greater than 6cm and periosteal chondromas are usually less than 6 cm radiographic presentation. Periosteal chondroma definition of periosteal chondroma by.
The lesion was originally described by lichtenstein and hall in 1952, who reported six cases 1. Arises from surface of bone from inner layer of periosteum. Periosteal chondroma of the scapula penetrating into both the anterior and posterior cortices. Cortex, periosteal chondroma, scapula, tumor introduction periosteal chondroma, also known as juxtacortical chondroma, is a rare slowgrowing benign cartilaginous tumor that arises adjacent to the cortex beneath the periosteum, with an incidence of about 0. All authors read and approved the final manuscript. Periosteal and soft tissue chondromas are rare benign cartilage neoplasms that have the same basic pathology as the enchondroma except their location 1. It does not infiltrate the adjacent soft tissue but may increase in size.
Additional names for this lesion are parosteal chondroma and juxtacortical chondroma. In october 1952 and may 1953, we had the opportunity of making a preoperative diagnosis of periosteal chondroma, an entity which was described in detail by lichtenstein and hall 1 in july 1952. Turk patoloji dergisiturkish journal of pathology akansu b et al. A chondroma that develops from periosteum or periosteal connective tissue. Jan 23, 2015 periosteal chondroma is a rare benign cartilage tumor located on the cortical bone, which may be mistaken clinically and histologically for other and more common tumors in this location. Histolologically the periosteal chondroma presents with welldifferentiated hyaline cartilage lobes that may contain focal calcifications or ossifications within a basophillic ma trix separated by fibrous septa. Periosteal and soft tissue chondromas orthoinfo aaos.
It is a slowly growing neoplasm of comparatively small size, which develops within and beneath the periosteal connective tissue and characteristically erodes and. Concurrent soft tissue chondroma and periosteal chondroma of. Periosteal chondroma chiefly arises in the long bones and rarely involves the hands. The authors document an even more infrequent occurrence of a recurrent periosteal chondroma in the cervical spine of a 6yearold boy. We report a rare case of periosteal chondroma arising from the left clavicle of a 56 year old male. Periosteal chondroma is a rare benign cartilaginous tumor that occurs under or in the periosteum on the surface of cortical bone. Periosteal chondroma is one type of chondroma, occurred in the surface of bone, the periosteum, the tendons and ligament. Is petct an accurate method for the differential diagnosis between chondroma and chondrosarcoma springerplus. Periosteal chondroma is a rare, benign cartilaginous tumor that arises from the periosteal tissues. Periosteal chondroma description, causes and risk factors. Periosteal chondroma atlas of musculoskeletal oncology. The signs and symptoms of periosteal chondroma are similar to those of solitary enchondroma. It is a very rare finding, especially in the rib region 2,3.
Periosteal chondroma is a painful cartilaginous lesion that arises from surface of cortex deep to the periosteum, producing broad based cartilaginous mass that may extend into soft tissues. Periosteal chondromas comprise less than 1% of bone neoplasms, have preference for the first 3 decades of life, although it can be seen in any age and men predominate over female patients 3. A clinicopathologic study of 46 patients with periosteal chondroma and 14 patients with periosteal chondrosarcoma revealed that periosteal chondroma tended to affect younger patients and that the lesion was usually smaller. Evaluation criteria included lesion location, mineralization, and size. Boriani s, bacchini p, bertoni f, campanacci m 1983 periosteal chondroma.
Periosteal chondromas account for juxtacortical chondroma. Chondromas are very rare, benign tumors made of cartilage. Periosteal chondroma forms in the periosteum a fibrous membrane made up of blood vessels and connective tissue that covers the bone. Original article periosteal chondroma of the proximal tibia. Periosteal chondroma is a benign hyaline cartilage neoplasm of the bone surface that arises from the periosteum 12 and has the potential to grow. Review of musculoskeletal radiology teaching files on the internet. The purpose of this study was to determine whether the imaging features of periosteal chondroid tumors correlate with histopathology. You were so generous to give up your time on a weekend to operate on my femur. Periosteal chondroma is by definition a slowly growing benign cartilaginous tumor of limited size, which develops within and beneath the periosteal connective tissue and charac teristically erodes and induces sclerosis of the contiguous cortical bone i, clinically, it is a slowly increasing, localized swelling which occurs with or without. Intramedullary extension, adjacent intramedullary edema, softtissue edema, and intrinsic characteristics were also evaluated on mr imaging.
Periosteal osteosarcoma is a distinct type of surface osteosarcoma arises from the surface of the boneperiosteum it arises from the inner layer of the periosteum and therefore elevates the periosteum and produces a periosteal reaction. Periosteal chondroma is a very unusual cartilaginous neoplasm of the spinal canal. The wntbcatenin signaling pathway is essential for regulation of normal cartilage development, maintenance of permanent cartilage, and growth plate function. Periosteal chondroma of the pediatric cervical spine.
During the operation, a giant 7 cmin diameter periosteal chondroma with involvement of the c5 and c6 vertebral bodies was resected. It affects both sexes equally and mainly occurs in patients aged 30 60 years. Chondroma symptoms and treatments aurora health care. Radiographically, the typical periosteal chondroma was a small, wellmarginated tumor on the outer surface of a long bone. Periosteal bone definition of periosteal bone by medical. The current study reports the case of periosteal chondroma located in the distal femur of a 14yearold female.
Periosteal chondrosarcoma, also known as juxtacortical chondrosarcoma, is a rare malignant cartilaginous tumor arising from the external surface of bone 14. Abstractperiosteal chondrosarcoma is an extremely rare lowgrade malignant cartilaginous tumor arising from the. Kissing periosteal chondroma and osteochondroma request pdf. A clinicopathologic study of 46 patients with periosteal chondroma and 14 patients with periosteal c.
Musculoskeletal pathology loss of bcatenin induces multifocal periosteal chondromalike masses in mice leslie cantley, cheri saunders, marta guttenberg,y maria elena candela, yoichi ohta, rika yasuhara,z naoki kondo,z federica sgariglia, shuji asai, xianrong zhang,x ling qin,x jacqueline t. Involvement of chromosomes 6 and 11 in a soft tissue chondroma. To our knowledge, this benign cartilaginous tumor has never been previously reported in this location. Periosteal chondroma is a benign cartilaginous tumor that is particularly rare at the hand. Original article periosteal chondroma of the proximal. The proximal humerus is the single most frequently affected site followed by the distal femur. It is made up of cartilage, a tough, flexible connective tissue found in many areas in the body. They most often form on the tendons that attach muscles to bone or to the tendon sheaths that keep tendons in place next to bone.