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[Benign solitary enchondroma (author's transl)]
Archives of Orthopaedic and Traumatic Surgery. Archiv Fur Orthopadische Und Unfall-Chirurgie
|January 29, 1979
Summary
Solitary enchondroma, a benign bone tumor, requires differentiation between peripheral and central types for appropriate management. Peripheral enchondromas are treated with local excision, while central enchondromas necessitate bone resection following oncological principles.
Area of Science:
- Orthopedic Oncology
- Bone Tumors
- Surgical Pathology
Background:
- Solitary enchondroma is a benign bone tumor with a variable prognosis.
- Clinical, roentgenological, or histological features do not reliably predict prognosis.
- Subdivision into peripheral and central types is crucial for management.
Purpose of the Study:
- To differentiate between peripheral and central enchondromas.
- To outline appropriate treatment strategies for each type.
- To clarify diagnostic challenges associated with central enchondromas.
Main Methods:
- Review of clinical, radiological, angiographical, and scintigraphical aspects of enchondromas.
- Analysis of treatment outcomes for local excision and bone resection.
- Evaluation of recurrence rates and indications for amputation.
Main Results:
- Both peripheral and central enchondromas typically present asymptomatically.
- Central enchondromas pose diagnostic challenges due to imaging characteristics.
- Local excision is effective for peripheral enchondromas with rare recurrences.
- Bone resection is indicated for central enchondromas, adhering to oncological radicality principles.
Conclusions:
- Benign solitary enchondromas should be classified as peripheral or central based on location.
- Peripheral enchondromas are managed with local excision.
- Central enchondromas require more aggressive surgical treatment, including bone resection.
- Amputation is reserved for tumors near the trunk or for chondrosarcoma.