Öz
Abstract
Enchondromas, the second most common osseous neoplasms, are benign mature hyaline cartilaginous neoplasms that are usually solitary lesions in intramedullary bone. Enchondromas of the long bones are usually asymptomatic and often identified radiographically as an incidental finding. Pain is the most commonly encountered symptom. The most common clinical presentations are impingement syndrome and rotator cuff tears, respectively. The characteristic radiographic appearance is solitary lucent lesion in the diaphyseal part of short tubular bone or in the metaphyseal part of the long bones. We present a case of a 23 year old woman with humeral enchondroma in this case report.
Keywords: Enchondroma, long bone, chondrosarcoma, treatment
Özet
Enkondrom kemiğin medüller kavitesi içinde gelişen yaygın görülen benign hyalin kartilajinöz neoplazmdır. Uzun kemik enkondromları genellikle asemptomatiktir ve tesadüfen bulunurlar. Ağrı en yaygın ortaya çıkan semptomdur. Ağrı olmayan hastalarda lezyon genellikle diğer sağlık problemleri araştırılırken tesadüfen bulunur. En yaygın klinik görünümü impingement sendromu ve rotator manşon yırtığı şeklindedir. Karakteristik radyografik görünümü kısa tübüler kemiklerin diafizi veya uzun kemiklerin metafizi içindeki soliter lüsent lezyondur. Bu yazıda humerus proksimal epifizinde enkondrom saptanan 23 yaşında bir kadın hasta sunulmuştur.
Anahtar sözcükler: Enkondrom, uzun kemik, kondrosarkoma, tedavi
Anahtar Kelimeler
Kaynakça
- Pansuriya CT, Bovée J. Bone: Enchondroma. Atlas Genet Cytogenet Oncol Haematol 2009; 13: 863-8.
- Levy JC, Temple HT, Mollabashy A, Sanders J, Kransdorf M. The causes of pain in benign solitary enchondromas of the proximal humerus. Clin Orthop Relat Res 2005: 181-6.
- Schreuder HW, Pruszczynski M, Veth RP, Lemmens JA. Treatment of benign and low-grade malignant intramedullary chondroid tumours with curettage and cryosurgery. Eur J Surg Oncol 1998; 24: 120-6.
- Unni KK. Cartilaginous lesions of bone. J Orthop Sci. 2001; 6: 457-72.
- Potter BK, Freedman BA, Lehman RA Jr, Shawen SB, Kuklo TR, Murphey MD. Solitary epiphyseal enchondromas. J Bone Joint Surg Am 2005; 87: 1551-60.
- Ludwig K. Cartilage Tumors. In: Davies MA, Sundaram M, James JS (eds.). Imaging of bone tumors and tumor-like lesions: Techniques and applications. Berlin, Springer Verlag 2009; pp: 225-50.
- Brien EW, Mirra JM, Kerr R. Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. I. The intramedullary cartilage tumors. Skeletal Radiol 1997; 26: 325-53.
- Jewusiak EM, Spence KF, Sell KW. Solitary benign enchondroma of the long bones of the hand. J Bone Joint Surg Am 1971; 53: 1587-90.
- Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE, Temple HT. Enchondroma differentiating features. Radiographics 1998; 18: 1213-37.
- chondrosarcoma in the appendicular skeleton:
- Bredella MA, Stoller DW, Johnston JO. Bone and soft tumors. In: Stoller DW (ed). Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. 3 rd ed. Vol 2. Philadelphia: Lippincott &Williams-Wilkins 2007; pp: 2045-162.
- Ishida T, Iijima T, Goto T, Kawano H, Machinami R. Concurrent enchondroma and periosteal chondroma of the humerus mimicking chondrosarcoma. Skeletal Radiol 1998; 27: 337-40.
- Neumann CH, Holt RG, Steinbach LS, Jahnke AH Jr, Petersen SA. MR imaging of the shoulder: appearance of the supraspinatus tendon in asymptomatic volunteers. AJR Am J Roentgenol 1992; 158: 1281-7.
Öz
Enkondrom kemiğin medüller kavitesi içinde gelişen yaygın görülen benign hyalin kartilajinöz neoplazmdır. Uzun kemik enkondromları genellikle asemptomatiktir ve tesadüfen bulunurlar. Ağrı en yaygın ortaya çıkan semptomdur. Ağrı olmayan hastalarda lezyon genellikle diğer sağlık problemleri araştırılırken tesadüfen bulunur. En yaygın klinik görünümü impingement sendromu ve rotator manşon yırtığı şeklindedir. Karakteristik radyografik görünümü kısa tübüler kemiklerin diafizi veya uzun kemiklerin metafizi içindeki soliter lüsent lezyondur. Bu yazıda humerus proksimal epifizinde enkondrom saptanan 23 yaşında bir kadın hasta sunulmuştur
Anahtar Kelimeler
Kaynakça
- Pansuriya CT, Bovée J. Bone: Enchondroma. Atlas Genet Cytogenet Oncol Haematol 2009; 13: 863-8.
- Levy JC, Temple HT, Mollabashy A, Sanders J, Kransdorf M. The causes of pain in benign solitary enchondromas of the proximal humerus. Clin Orthop Relat Res 2005: 181-6.
- Schreuder HW, Pruszczynski M, Veth RP, Lemmens JA. Treatment of benign and low-grade malignant intramedullary chondroid tumours with curettage and cryosurgery. Eur J Surg Oncol 1998; 24: 120-6.
- Unni KK. Cartilaginous lesions of bone. J Orthop Sci. 2001; 6: 457-72.
- Potter BK, Freedman BA, Lehman RA Jr, Shawen SB, Kuklo TR, Murphey MD. Solitary epiphyseal enchondromas. J Bone Joint Surg Am 2005; 87: 1551-60.
- Ludwig K. Cartilage Tumors. In: Davies MA, Sundaram M, James JS (eds.). Imaging of bone tumors and tumor-like lesions: Techniques and applications. Berlin, Springer Verlag 2009; pp: 225-50.
- Brien EW, Mirra JM, Kerr R. Benign and malignant cartilage tumors of bone and joint: their anatomic and theoretical basis with an emphasis on radiology, pathology and clinical biology. I. The intramedullary cartilage tumors. Skeletal Radiol 1997; 26: 325-53.
- Jewusiak EM, Spence KF, Sell KW. Solitary benign enchondroma of the long bones of the hand. J Bone Joint Surg Am 1971; 53: 1587-90.
- Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE, Temple HT. Enchondroma differentiating features. Radiographics 1998; 18: 1213-37.
- chondrosarcoma in the appendicular skeleton:
- Bredella MA, Stoller DW, Johnston JO. Bone and soft tumors. In: Stoller DW (ed). Magnetic Resonance Imaging in Orthopaedics and Sports Medicine. 3 rd ed. Vol 2. Philadelphia: Lippincott &Williams-Wilkins 2007; pp: 2045-162.
- Ishida T, Iijima T, Goto T, Kawano H, Machinami R. Concurrent enchondroma and periosteal chondroma of the humerus mimicking chondrosarcoma. Skeletal Radiol 1998; 27: 337-40.
- Neumann CH, Holt RG, Steinbach LS, Jahnke AH Jr, Petersen SA. MR imaging of the shoulder: appearance of the supraspinatus tendon in asymptomatic volunteers. AJR Am J Roentgenol 1992; 158: 1281-7.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Bölüm | Olgu Sunumları |
| Yazarlar | |
| Yayımlanma Tarihi | 20 Haziran 2011 |
| Yayımlandığı Sayı | Yıl 2011Cilt: 33 Sayı: 2 |