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Published on: September 20, 2018
A rare presentation of Maffucci syndrome: A case report and literature review
Yue-Peng Wang1, Wen-Jia Di2, Shi-Lei Qin3
1Graduate School, Changzhi Medical College, Changzhi, Shanxi 046000, P.R. China.
Abstract:
Maffucci syndrome is an extremely rare disease which can manifest symptoms as early as childhood. It is estimated that there have been <300 cases reported globally; however, this number is likely to be an underestimate. Maffucci syndrome is characterized by multiple enchondromas and soft tissue hemangiomas, which can cause growth and developmental malformations. In addition to bone deformities, pathological fractures and a loss of mobility, patients with Maffucci syndrome may develop secondary central chondrosarcoma and have a higher risk of developing non-skeletal malignant tumors, such as gliomas and mesenchymal ovarian tumors. The present study provides information for clinicians about this disease through the use of imaging, physical examinations, clinical manifestations and the treatment strategy used. There is need to summarize the existing cases of this disease around the world and produce an effective framework for the diagnosis, treatment and prevention of Maffucci syndrome, in order to better understand this disease. The present study reports on a 15-year-old male diagnosed with Maffucci syndrome. . Due to the risk of malignant tumor development in the absence of effective treatment, regular and careful observation through monitoring of tumor markers and imaging studies is important for patients with Maffucci syndrome. As cases of this disease are rare and case data is limited, it is difficult to create a clear treatment plan. There is an urgent need to establish a case database of Maffucci syndrome patients and explore its pathogenesis for early diagnosis, treatment and prevention of disease.
Insights
Maffucci syndrome, a rare condition causing bone deformities and tumors, requires better diagnosis and treatment frameworks. Early detection and monitoring are crucial due to increased cancer risk.
Area of Science:
- Rare disease research
- Medical genetics
- Oncology
Background:
- Maffucci syndrome is a rare genetic disorder characterized by multiple enchondromas and soft tissue hemangiomas.
- Symptoms often appear in childhood, leading to growth and developmental abnormalities.
- Fewer than 300 cases are globally reported, suggesting underdiagnosis.
Observation:
- Patients experience bone deformities, pathological fractures, and mobility issues.
- There is an elevated risk of secondary central chondrosarcoma and non-skeletal malignancies like gliomas and ovarian tumors.
- The study presents a case of a 15-year-old male diagnosed with Maffucci syndrome.
Findings:
- The rarity and limited data complicate establishing clear diagnostic and treatment protocols.
- Regular monitoring via imaging and tumor markers is vital for managing malignant transformation risks.
- Current clinical information relies on imaging, physical exams, and manifestation analysis.
Implications:
- There is an urgent need for a global Maffucci syndrome patient database.
- Further research into pathogenesis is essential for early diagnosis, treatment, and prevention strategies.
- Developing effective frameworks is critical for improving patient outcomes and understanding this rare disease.
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