Periosteal chondroma

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Periosteal chondroma
Other names: Juxtacortical chondroma, parosteal chondroma[1]
Periosteal-chondroma-1.png
Periosteal chondroma long bone lower leg near knee
SpecialtyOrthopedics
SymptomsPain[2]
Diagnostic methodMedical imaging[2]
Differential diagnosisPeriosteal chondrosarcoma[1]
TreatmentObservation, less often surgery[2]
FrequencyRare, M>F[1]

Periosteal chondroma is a non-cancerous tumor of cartilage.[3][4] It generally presents with pain in the affected region, typically in the upper arm.[2]

Medical imaging demonstrates a well-defined lesion with a "saucer-shaped margin" and a thick intact cortex.[1][2] Periosteal chondrosarcoma may appear similar.[1] Treatment is usually observation, but marginal surgical excision may be required, [2]

Periosteal chondroma is rare and account for around 3% of non-cancerous chondrogenic tumors, occurring in both children and adults and more often in men.[1]

Signs and symptoms

Periosteal chondroma generally presents with pain in the region of the lesion, usually due to pressure effects on nearby tendons.[2]

Diagnosis

MRI: Periosteal chondroma

Medical imaging demonstrates a well-defined lesion and erosion from pressure, with a "saucer-shaped margin", a thick intact cortex and marginal sclerosis.[1][2]

Differential diagnosis is mainly periosteal chondrosarcoma.[1]

Treatment

Unless there is severe pain, when marginal surgical excision may be required, treatment is usually observation.[2]

Epidemiology

They account for around 3% of non-cancerous chondrogenic tumors, occur in both children and adults and more often in men.[1] The upper arm is more frequently affected.[1]

References

  1. 1.0 1.1 1.2 1.3 1.4 1.5 1.6 1.7 1.8 1.9 Engel, Hannes; Herget, Georg W.; Füllgraf, Hannah; Sutter, Reto; Benndorf, Matthias; Bamberg, Fabian; Jungmann, Pia M. (March 2021). "Chondrogenic Bone Tumors: The Importance of Imaging Characteristics". RoFo: Fortschritte Auf Dem Gebiete Der Rontgenstrahlen Und Der Nuklearmedizin. 193 (3): 262–275. doi:10.1055/a-1288-1209. ISSN 1438-9010. PMID 33152784. Archived from the original on 2021-07-09. Retrieved 2021-07-07.
  2. 2.0 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 "Periosteal Chondromas - Pathology - Orthobullets". www.orthobullets.com. Archived from the original on 25 January 2021. Retrieved 6 July 2021.
  3. Soft Tissue and Bone Tumours: WHO Classification of Tumours. International Agency for Research on Cancer. 2020. p. 338. ISBN 978-92-832-4502-5. Archived from the original on 2021-06-13. Retrieved 2021-07-06.
  4. Cleven, Arjen H. G.; Bovée, Judith V. M. G. (1 October 2020). "Clinicopathological features and differential diagnosis of chondrogenic tumours". Diagnostic Histopathology. 26 (10): 484–491. doi:10.1016/j.mpdhp.2020.07.006. ISSN 1756-2317. Archived from the original on 27 August 2021. Retrieved 6 July 2021.