Giant extraskeletal chondroma of the hand: A rare case

Wenny, Raphael; Pollhammer, Michael S.; Duscher, Dominik; Aitzetmueller, Matthias; Haslhofer, David J.; Huemer, Georg M.; Schmidt, Manfred

doi:10.5999/aps.2017.01053

Cited by 4 publications

(3 citation statements)

References 6 publications

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“…Our literature analysis of EC affecting the hand and upper extremity (Table 1) revealed 25 cases reported [2,[4][5][6][7][8][9][10][11][12][13][14][15][16], located in digits (eight cases), within the carpal tunnel (three), or in other sites in the hand (ten); in four cases, information about the exact location was missing. The average size ranged from 0.5 to 12 cm in an estimated diameter.…”

Section: Discussionmentioning

confidence: 99%

Extraskeletal Chondroma: A Rare Cause of Trigger Finger in Children

Salvatori

Abati

Bettuzzi

et al. 2020

Case Reports in Orthopedics

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Introduction. Trigger finger is ten times less common than trigger thumb in infants and children and, unlike trigger thumb, may arise from a variety of underlying causes. To our knowledge, we describe the first case of pediatric trigger finger secondary to an extraskeletal chondroma. Case Presentation. We report the case of an 11-year-old girl presenting with a typical history of triggering of the fourth finger, in whom a nodule attached to the flexor digitorum superficialis was found; clinical, ultrasound, and operative findings are described. Histological analysis was diagnostic of extraskeletal chondroma, also known as chondroma of soft tissues. Conclusion. This is a very uncommon benign cartilaginous tumor, mostly reported in patients aged 30 to 60 years (just one pediatric extraskeletal chondroma of the hand has been described), and presentation with trigger finger has been reported just once, in a 76-year-old man. This condition should be considered in the differential diagnosis of pediatric trigger finger.

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Section: Discussionmentioning

confidence: 99%

Extraskeletal Chondroma: A Rare Cause of Trigger Finger in Children

Salvatori

Abati

Bettuzzi

et al. 2020

Case Reports in Orthopedics

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“…21 An excisional biopsy including the tumor capsule is typically the first line of treatment. 20 All chondromas in our series (9 of 155, 5.8%) arose in the digits: 4 (44%) in the middle finger, 2 (22%) in the index finger, 2 in the little finger, and 1 (11%) in the ring finger (Figure 3). All chondromas were excised.…”

Section: Cartilaginous Tumorsmentioning

confidence: 71%

“…Chondromas are rare, benign lesions composed of hyaline cartilage that almost exclusively appear in the soft tissue of the extremities 20 ; they usually do not affect the bone. 21 An excisional biopsy including the tumor capsule is typically the first line of treatment.…”

Section: Cartilaginous Tumorsmentioning

confidence: 99%

Benign Hand Tumors (Part I): Cartilaginous and Bone Tumors

Yue

Lans

Castelein

et al. 2020

Hand (New York, N,Y.)

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Background: Benign tumors of the hand present in a wide array of histological subtypes and compose most of the bony tissue tumors in the hand. This study evaluates the characteristics and treatment of benign bone tumors in light of one institution’s experience. Methods: Histologically confirmed benign tumors of the hand were retrospectively identified using International Classification of Diseases codes from 1992 to 2015. A medical chart review was conducted to collect patient characteristics and tumor epidemiology and treatment. Results: A total of 155 benign bone tumors were identified. The median age of patients at the time of surgery was 39.9 ± 12.8 years. All bone tumors were located in the digits, and most were treated by intralesional curettage (n = 118, 76%). Pathologic fractures occurred in 79 bone tumors (51%). Conclusion: Enchondromas (n = 118, 76%) were the most common bone tumor in this series, whereas giant cell tumors were the most destructive and also had the highest recurrence rate (40%). Awareness of tumor features may help physicians with diagnosis, and awareness of recurrence rates is important when counseling patients.

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A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

Momota

Nishisho

Miyagi

et al. 2019

Case Reports in Orthopedics

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Chondromas are benign cartilaginous tumors that occur very rarely in the spine. Moreover, chondromas of the extraskeletal origin are also very rare. In this case report, we describe an extremely rare case of chondroma arising from the ligamentum flavum in the cervical spine. A 67-year-old man presented to our clinic with acute-onset spastic quadriparesis. We performed emergent magnetic resonance imaging and found an epidural mass in the right ligamentum flavum at C4-C5. The acute-onset presentation was suspicious for intraligamentous hematoma in the ligamentum flavum at this level. We performed emergency decompression surgery and en bloc removal of the epidural mass with the right C4 and C5 lamina. The lesion had the appearance of cartilaginous tissue rather than hematoma. Based on the histological investigation, the final diagnosis was intraligamentous chondroma of the cervical spine. The quadriparesis improved postoperatively, as did the results of manual muscle testing in the affected area, and he was able to resume walking independently with a cane. At the one-year follow-up, the manual muscle testing results were almost normal. Surgeons should keep in mind the possibility of benign tumors including chondroma of the cervical spine when a patient presents with acute-onset quadriparesis.

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Giant extraskeletal chondroma of the hand: A rare case

Cited by 4 publications

References 6 publications

Extraskeletal Chondroma: A Rare Cause of Trigger Finger in Children

Extraskeletal Chondroma: A Rare Cause of Trigger Finger in Children

Benign Hand Tumors (Part I): Cartilaginous and Bone Tumors

A Rare Case of Acute-Onset Spastic Quadriparesis Caused by a Chondroma of the Cervical Spine

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