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Chondroma x ray

Introduction

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.

X Ray Findings

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]
X-ray of knee showing chondroma.Source: Case courtesy of Dr Brian Gilcrease-Garcia, Radiopaedia.org, rID: 56933
    • 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

References

  1. ↑ 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. PMIDΒ 18328980.
  2. ↑ Silve C, JΓΌppner H (September 2006). “Ollier disease”. Orphanet J Rare Dis. 1: 37. doi:10.1186/1750-1172-1-37. PMCΒ 1592482. PMIDΒ 16995932.
  3. ↑ 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. PMIDΒ 16624212.
  4. ↑ 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. PMIDΒ 9308471.
  5. ↑ Weiner SD (2004). “Enchondroma and chondrosarcoma of bone: clinical, radiologic, and histologic differentiation”. Instr Course Lect. 53: 645–9. PMIDΒ 15116654.
  6. ↑ Miller SF (January 2014). “Imaging features of juxtacortical chondroma in children”. Pediatr Radiol. 44 (1): 56–63. doi:10.1007/s00247-013-2770-6. PMIDΒ 23955368.


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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Rohan A. Bhimani, M.B.B.S., D.N.B., M.Ch.[2], Farima Kahe M.D. [3], Soujanya Thummathati, MBBS [4]