Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report
Chondrosarcoma is a rare malignant tumour of proliferating cartilaginous tissue. It may arise as a primary lesion, or occur secondarily at the site of a previous benign lesion such as enchondroma . Primary chondrosarcomas are rare in the hand with a frequency of less than 0.5% to 3.2% of all chond...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
JCDR Research and Publications Private Limited
2014-03-01
|
| Series: | Journal of Clinical and Diagnostic Research |
| Subjects: | |
| Online Access: | https://jcdr.net/articles/PDF/4139/49-%208142_E(Ra)_F(P)_PF1(Ra_P)_PF2(PAK)_PFA(AK)_V(E)_PF2(PN).pdf |
| _version_ | 1817986549712683008 |
|---|---|
| author | Honnappa Sridhar Mysorekar Vijaya Wilfred Clement Chirukuri Srinivas |
| author_facet | Honnappa Sridhar Mysorekar Vijaya Wilfred Clement Chirukuri Srinivas |
| author_sort | Honnappa Sridhar |
| collection | DOAJ |
| description | Chondrosarcoma is a rare malignant tumour of proliferating cartilaginous tissue. It may arise as a primary lesion, or occur
secondarily at the site of a previous benign lesion such as enchondroma . Primary chondrosarcomas are rare in the hand with
a frequency of less than 0.5% to 3.2% of all chondrosarcomas, and are seen involving the phalanges, trapezium and trapezoid.
Malignant transformation of a benign solitary enchondroma to secondary chondrosarcoma, especially in the hand, is extremely rare.
We report a case, where the patient had developed a painful swelling in the 5th metacarpal bone of the right hand, 15 years back,
which was diagnosed as enchondroma. Subsequently the patient presented with a 3-year history of increase in the size of the swelling
at the same site, which on radiological and histopathological examination revealed malignant transformation into chondrosarcoma.
We also discuss the differential diagnosis of chondrosarcoma. Keeping in mind the possibility of local recurrence and metastasis
of chondrosarcoma, a ray amputation of the 4th and 5th digits of the right hand along with the mass was performed retaining the
normal functioning of the hand. |
| first_indexed | 2024-04-14T00:10:35Z |
| format | Article |
| id | doaj.art-802397b1318b461797933cf0443b9b2c |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-04-14T00:10:35Z |
| publishDate | 2014-03-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-802397b1318b461797933cf0443b9b2c2022-12-22T02:23:21ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2014-03-018314214310.7860/JCDR/2014/8142.4139Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case ReportHonnappa Sridhar0Mysorekar Vijaya1Wilfred Clement2Chirukuri Srinivas3Assistant Professor, Department of Pathology, M.S. Ramaiah Medical College, India.Professor, Department of Pathology, M.S. Ramaiah Medical College, India.Assistant Professor, Department of Pathology, M.S. Ramaiah Medical College, India. Ex- Assistant Professor, Department of Orthopaedic Oncology, M.S. Ramaiah Medical College, India.Chondrosarcoma is a rare malignant tumour of proliferating cartilaginous tissue. It may arise as a primary lesion, or occur secondarily at the site of a previous benign lesion such as enchondroma . Primary chondrosarcomas are rare in the hand with a frequency of less than 0.5% to 3.2% of all chondrosarcomas, and are seen involving the phalanges, trapezium and trapezoid. Malignant transformation of a benign solitary enchondroma to secondary chondrosarcoma, especially in the hand, is extremely rare. We report a case, where the patient had developed a painful swelling in the 5th metacarpal bone of the right hand, 15 years back, which was diagnosed as enchondroma. Subsequently the patient presented with a 3-year history of increase in the size of the swelling at the same site, which on radiological and histopathological examination revealed malignant transformation into chondrosarcoma. We also discuss the differential diagnosis of chondrosarcoma. Keeping in mind the possibility of local recurrence and metastasis of chondrosarcoma, a ray amputation of the 4th and 5th digits of the right hand along with the mass was performed retaining the normal functioning of the hand.https://jcdr.net/articles/PDF/4139/49-%208142_E(Ra)_F(P)_PF1(Ra_P)_PF2(PAK)_PFA(AK)_V(E)_PF2(PN).pdfenchondromachondrosarcomametacarpalmalignant transformationamputation |
| spellingShingle | Honnappa Sridhar Mysorekar Vijaya Wilfred Clement Chirukuri Srinivas Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report Journal of Clinical and Diagnostic Research enchondroma chondrosarcoma metacarpal malignant transformation amputation |
| title | Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report |
| title_full | Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report |
| title_fullStr | Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report |
| title_full_unstemmed | Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report |
| title_short | Chondrosarcoma Arising in an Enchondroma of the Metacarpal Bone - A Case Report |
| title_sort | chondrosarcoma arising in an enchondroma of the metacarpal bone a case report |
| topic | enchondroma chondrosarcoma metacarpal malignant transformation amputation |
| url | https://jcdr.net/articles/PDF/4139/49-%208142_E(Ra)_F(P)_PF1(Ra_P)_PF2(PAK)_PFA(AK)_V(E)_PF2(PN).pdf |
| work_keys_str_mv | AT honnappasridhar chondrosarcomaarisinginanenchondromaofthemetacarpalboneacasereport AT mysorekarvijaya chondrosarcomaarisinginanenchondromaofthemetacarpalboneacasereport AT wilfredclement chondrosarcomaarisinginanenchondromaofthemetacarpalboneacasereport AT chirukurisrinivas chondrosarcomaarisinginanenchondromaofthemetacarpalboneacasereport |