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Related Experiment Videos

Multiple chondrosarcomas in a hand: a case report

R S Block, R I Burton

    The Journal of Hand Surgery
    |July 1, 1977
    PubMed
    Summary
    This summary is machine-generated.

    Multiple enchondromas in one patient simultaneously developed malignant changes over seven years. Surgical resection of the affected digits resulted in a good functional outcome.

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    Area of Science:

    • Orthopedic Surgery
    • Oncology
    • Radiology

    Background:

    • Enchondromas are benign cartilage tumors typically found in the small bones of the hands and feet.
    • Multiple enchondromas, known as enchondromatosis, can occur sporadically or as part of genetic syndromes.
    • Malignant transformation of enchondromas is rare but can occur, often presenting diagnostic challenges.

    Observation:

    • A single patient presented with multiple enchondromas predominantly affecting the ring finger and fifth ray of the left hand.
    • Over a seven-year observation period, four distinct enchondromas within these digits exhibited signs of malignant degeneration.
    • Radiographic progression was noted, transitioning from initial cortical expansion to cortical destruction and subsequent soft tissue invasion.

    Findings:

    Related Experiment Videos

  • Simultaneous malignant transformation in four separate enchondromas within the same hand is an unusual presentation.
  • The radiographic hallmarks of malignancy included cortical destruction and extracompartmental soft tissue invasion.
  • Surgical intervention via ray resection of the affected digits was performed.

    • Implications:

    • This case highlights the potential for multiple enchondromas to undergo malignant change, emphasizing the need for vigilant monitoring.
    • Early detection of radiographic changes suggestive of malignancy is crucial for timely intervention.
    • Ray resection can achieve good functional results in managing malignant enchondromas of the digits.