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Simultaneous Enchondroma and Osteochondroma in the Hand: A Case Report
A Agostinelli1, G Touloupakis2, I Merli1
1Department of Radiology, San Carlo Borromeo Hospital, Milan, Italy.
La Clinica Terapeutica
|June 17, 2025
Summary
Simultaneous enchondroma and osteochondroma in the hand is rare. This case report details a 12-year-old patient with both bone tumors in the second metacarpal, emphasizing diagnostic and treatment strategies.
Area of Science:
- Orthopedic Surgery
- Skeletal Oncology
- Pediatric Radiology
Background:
- Enchondromas are common benign hand tumors, while osteochondromas are rare in this location.
- Simultaneous occurrence of both in the hand is exceptionally rare, posing diagnostic challenges.
Observation:
- A 12-year-old female presented with concurrent enchondroma and osteochondroma in the second metacarpal.
- Radiological imaging (X-ray, CT, MRI) revealed distinct features of both cartilaginous tumors.
- Surgical excision was performed due to mechanical symptoms and cosmetic concerns.
Findings:
- Histopathology confirmed the presence of both enchondroma and osteochondroma.
- One-year postoperative follow-up showed no tumor recurrence.
- This dual presentation highlights diagnostic complexities and management considerations.
Implications:
- Emphasizes the need for comprehensive radiologic and histopathologic assessment in rare dual bone tumor presentations.
- Highlights the importance of timely surgical intervention to prevent functional and cosmetic complications.
- Underscores the necessity of monitoring cartilaginous lesions for potential malignant transformation.
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