eMedicine Specialties > Radiology > Musculoskeletal

Enchondroma and Enchondromatosis: Follow-up

Author: Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Coauthor(s): T Catherine Maldjian, MD, Associate Professor, Department of Radiology, New York Medical College; Director, Radiology Research Center; Chief, Musculoskeletal Radiology, Westchester Medical Center
Contributor Information and Disclosures

Updated: Jul 20, 2009

Intervention

CT-guided percutaneous needle biopsy occasionally is indicated in the management of enchondroma. However, because benign and low-grade malignant cartilage lesions may be difficult to distinguish at histologic examination, the risk of sampling error usually precludes a confident diagnosis. Therefore, needle biopsy is not generally useful.

If CT scans show a densely mineralized or uniformly mineralized lesion with a lucent region, degeneration of the enchondroma to a chondrosarcoma is suggested, and biopsy is likely necessary.

 


More on Enchondroma and Enchondromatosis

Overview: Enchondroma and Enchondromatosis
Imaging: Enchondroma and Enchondromatosis
Follow-up: Enchondroma and Enchondromatosis
Multimedia: Enchondroma and Enchondromatosis
References
Further Reading

References

  1. Semenova LA, Bulycheva IV. [Chondromas (enchondroma, periosteal chondroma, enchondromatosis)]. Arkh Patol. Sep-Oct 2007;69(5):45-8. [Medline].

  2. Figl M, Leixnering M. Retrospective review of outcome after surgical treatment of enchondromas in the hand. Arch Orthop Trauma Surg. Jun 2009;129(6):729-34. [Medline].

  3. van der Geest IC, de Valk MH, de Rooy JW, Pruszczynski M, Veth RP, Schreuder HW. Oncological and functional results of cryosurgical therapy of enchondromas and chondrosarcomas grade 1. J Surg Oncol. Nov 1 2008;98(6):421-6. [Medline].

  4. Unni KK. Dahlin's Bone Tumors: General Aspects and Data on 11,087 Cases. 5th ed. Philadelphia, Pa: Lippincott-Raven;1996:25-45.

  5. Katz P, Colbert R, Drolet B. Unilateral mosaic cutaneous vascular lesions, enchondroma, multiple soft tissue chondromas and congenital fibrosarcoma--a variant of Maffucci syndrome?. Pediatr Dermatol. Mar-Apr 2008;25(2):205-9. [Medline].

  6. Sun GH, Myer CM 3rd. Otolaryngologic manifestations of Maffucci's syndrome. Int J Pediatr Otorhinolaryngol. Jul 2009;73(7):1015-8. [Medline].

  7. Springfield DS, Gebhardt MC, McGuire MH. Chondrosarcoma: a review. J Bone Joint Surg [Am]. 1996;78:141-9.

  8. D'Angelo L, Massimi L, Narducci A, Di Rocco C. Ollier disease. Childs Nerv Syst. Jun 2009;25(6):647-53. [Medline].

  9. Ranger A, Szymczak A. The association between intracranial tumours and multiple dyschondroplasia (Ollier's disease or Maffucci's syndrome): do children and adults differ?. J Neurooncol. Jun 9 2009;[Medline].

  10. Moser T, Lin XZ, Bazille G, Fleury M, Dietemann JL, Kremer S. Progressive hemianopsia caused by intracranial enchondroma in Ollier disease. Neurology. Dec 9 2008;71(24):2018. [Medline].

  11. Al Kaissi A, Ganger R, Klaushofer K, Rumpler M, Grill F. Achondroplasia manifesting as enchondromatosis and ossification of the spinal ligaments: a case report. J Med Case Reports. Aug 11 2008;2:263. [Medline].

  12. Feldman F, Van Heertum R, Saxena C, et al. 18FDG-PET applications for cartilage neoplasms. Skeletal Radiol. Jul 2005;34(7):367-74.

  13. Bauer HC, Brosjo O, Kreicbergs A, et al. Low risk of recurrence of enchondroma and low-grade chondrosarcoma in extremities. 80 patients followed for 2-25 years. Acta Orthop Scand. Jun 1995;66(3):283-8. [Medline].

  14. Flemming DJ, Murphey MD. Enchondroma and chondrosarcoma. Semin Musculoskelet Radiol. 2000;4(1):59-71. [Medline].

  15. Healey JH, Lane JM. Chondrosarcoma. Clin Orthop Relat Res. Mar 1986;119-29. [Medline].

  16. Hudson TM, Chew FS, Manaster BJ. Radionuclide bone scanning of medullary chondrosarcoma. AJR Am J Roentgenol. Dec 1982;139(6):1071-6. [Medline].

  17. Jaffe HL, Lichtenstein L. Solitary benign enchondroma of bone. Arch Surg. 1943;46:480-93.

  18. Marco RA, Gitelis S, Brebach GT, Healey JH. Cartilage tumors: evaluation and treatment. J Am Acad Orthop Surg. Sep-Oct 2000;8(5):292-304. [Medline].

  19. McDermott AL, Dutt SN, Chavda SV, Morgan DW. Maffucci''s syndrome: clinical and radiological features of a rare condition. J Laryngol Otol. Oct 2001;115(10):845-7. [Medline].

  20. Murphey MD, Flemming DJ, Boyea SR, et al. Enchondroma versus chondrosarcoma in the appendicular skeleton: differentiating features. Radiographics. Sep-Oct 1998;18(5):1213-37; quiz 1244-5. [Medline].

  21. Peiper M, Zornig C. Chondrosarcoma of the thumb arising from a solitary enchondroma. Arch Orthop Trauma Surg. 1997;116(4):246-8. [Medline].

  22. Robbin MR, Murphey MD. Benign chondroid neoplasms of bone. Semin Musculoskelet Radiol. 2000;4(1):45-58. [Medline].

  23. Wang XL, De Beuckeleer LH, De Schepper AM, Van Marck E. Low-grade chondrosarcoma vs enchondroma: challenges in diagnosis and management. Eur Radiol. 2001;11(6):1054-7. [Medline].

  24. Zwenneke Flach H, Ginai AZ, Wolter Oosterhuis J. Best cases from the AFIP. Maffucci syndrome: radiologic and pathologic findings. Armed Forces Institutes of Pathology. Radiographics. Sep-Oct 2001;21(5):1311-6. [Medline][Full Text].

Keywords

enchondroma, enchondromatosis, chondroma, chondrosarcoma, Ollier's disease, Ollier disease, Maffucci syndrome, dystrophic calcifications, benign cartilaginous neoplasms, benign bone neoplasms, osseous neoplasms, pathologic bone fracture, hyaline cartilage rests

Contributor Information and Disclosures

Author

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

Coauthor(s)

T Catherine Maldjian, MD, Associate Professor, Department of Radiology, New York Medical College; Director, Radiology Research Center; Chief, Musculoskeletal Radiology, Westchester Medical Center
T Catherine Maldjian, MD is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, International Skeletal Society, Radiological Society of North America, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Medical Editor

Michael A Bruno, MD, Associate Professor, Departments of Radiology and Medicine, Pennsylvania State University College of Medicine; Director, Radiology Quality Management Services, Milton S Hershey Medical Center, Pennsylvania State University College of Medicine
Michael A Bruno, MD is a member of the following medical societies: American College of Radiology, American Roentgen Ray Society, Association of University Radiologists, Radiological Society of North America, Society of Nuclear Medicine, and Society of Skeletal Radiology
Disclosure: Nothing to disclose.

Pharmacy Editor

Bernard D Coombs, MB, ChB, PhD, Consulting Staff, Department of Specialist Rehabilitation Services, Hutt Valley District Health Board, New Zealand
Disclosure: Nothing to disclose.

Managing Editor

Murali Sundaram, MBBS, FRCR, FACR, Consulting Staff, Department of Diagnostic Radiology, The Cleveland Clinic Foundation
Disclosure: Nothing to disclose.

CME Editor

Robert M Krasny, MD, Consulting Staff, Department of Radiology, The Angeles Clinic and Research Institute
Robert M Krasny, MD is a member of the following medical societies: American Roentgen Ray Society and Radiological Society of North America
Disclosure: Nothing to disclose.

Chief Editor

Felix S Chew, MD, MBA, EdM, Professor, Department of Radiology, Vice Chairman for Radiology Informatics, Section Head of Musculoskeletal Radiology, University of Washington
Felix S Chew, MD, MBA, EdM is a member of the following medical societies: American Roentgen Ray Society, Association of University Radiologists, and Radiological Society of North America
Disclosure: Nothing to disclose.

 
 
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