Chondroma x ray

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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

X Ray Findings

  • An 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]
    • 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

  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. PMID 18328980.
  2. Silve C, Jüppner H (September 2006). "Ollier disease". Orphanet J Rare Dis. 1: 37. doi:10.1186/1750-1172-1-37. PMC 1592482. PMID 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. PMID 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. PMID 9308471.
  5. Weiner SD (2004). "Enchondroma and chondrosarcoma of bone: clinical, radiologic, and histologic differentiation". Instr Course Lect. 53: 645–9. PMID 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. PMID 23955368.


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