Chondroma surgery

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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]

Overview

Surgery is not the first-line treatment option for patients with asymptomatic and benign chondroma. Surgery is usually reserved for patients with either malignant transformation and pathological fracture.

Surgery

Enchondroma

  • Enchondromas of the long bones are usually asymptomatic and do not require treatment. Treatment consists of observation with serial radiographs.
  • Curettage and histopathologic evaluation is usually reserved for patients with either:
    • Uncertain diagnosis
    • Lytic lesions
    • Symptomatic and borderline in size
    • Suspicious lesions For patients with pathologic fractures
  • Curettage and grafting with optional internal fixation may be considered for multiple fractures, impending fracture, or painful lesions.
  • Enchondroma usually does not progress or recur.

Periosteal Chondroma

Synovial Chondroma

  • In synovial chondroma, depending on the symptoms, removal of loose bodies is required.
  • In symptomatic patients with synovial chondroma, synovectomy is helpful to control the disease.

References

  1. Semenova LA, Bulycheva IV (2007). "[Chondromas (enchondroma, periosteal chondroma, enchondromatosis)]". Arkh Patol. 69 (5): 45–8. PMID 18074822.
  2. Peabody, Terrance (2014). Orthopaedic oncology : primary and metastatic tumors of the skeletal system. Cham: Springer. ISBN 9783319073224.
  3. Fahim DK, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A (2009). "Periosteal chondroma of the pediatric cervical spine". J Neurosurg Pediatr. 3 (2): 151–6. doi:10.3171/2008.11.PEDS08231. PMID 19278317.
  4. Agrawal A, Dwivedi SP, Joshi R, Gangane N (2005). "Osteochondroma of the sacrum with a correlative radiographic and histological evaluation". Pediatr Neurosurg. 41 (1): 46–8. doi:10.1159/000084865. PMID 15886513.
  5. Akansu B, Atık E, Altintaş S, Kalaci A, Canda S (2012). "Periosteal chondroma of the ischium; an unusual location". Turk Patoloji Derg. 28 (2): 172–4. doi:10.5146/tjpath.2012.01119. PMID 22627638.


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