Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report

We report a case of tibial osteochondroma in a 25-year-old female who presented with a palpable calf mass. This mass was associated with a thick cartilaginous cap on cross-sectional imaging, suggesting chondrosarcoma. A CT-guided biopsy was performed, and histology, however, was consistent with oste...

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Main Authors: Victoria Xie, Yi Yan, Miao Lu, David Perrin, Gregory Garvin, Laurence Stillwater
Format: Article
Language:English
Published: Elsevier 2024-05-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043324000402
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author Victoria Xie
Yi Yan
Miao Lu
David Perrin
Gregory Garvin
Laurence Stillwater
author_facet Victoria Xie
Yi Yan
Miao Lu
David Perrin
Gregory Garvin
Laurence Stillwater
author_sort Victoria Xie
collection DOAJ
description We report a case of tibial osteochondroma in a 25-year-old female who presented with a palpable calf mass. This mass was associated with a thick cartilaginous cap on cross-sectional imaging, suggesting chondrosarcoma. A CT-guided biopsy was performed, and histology, however, was consistent with osteochondroma. Orthopedic oncology recommended surgical excision due to the potential high sampling error with chondroid lesions. The patient underwent surgical resection, resulting in a final diagnosis of osteochondroma. No post-surgical complications occurred, and a 12-month follow-up showed no evidence of local recurrence. This case highlights the atypical imaging feature of a thick cartilaginous cap in a benign etiology without malignant transformation.
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spelling doaj.art-e58c824572104183ba29c95ab6c4494e2024-03-10T05:11:41ZengElsevierRadiology Case Reports1930-04332024-05-0119516851691Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case reportVictoria Xie0Yi Yan1Miao Lu2David Perrin3Gregory Garvin4Laurence Stillwater5Department of Health Science, University of Manitoba, Winnipeg, Manitoba, CanadaDepartment of Diagnostic Radiology, University of Manitoba, Room O2055, St Boniface General Hospital, 409 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada; Department of Medical Imaging, St. Joseph's Health Care London, 268 Grosvenor St, London, Ontario N6A 4V2, CanadaDepartment of Pathology, Rady Faculty of Health Sciences, University of Manitoba, 820 Sherbrook Street, Winnipeg, Manitoba R3A1R9, CanadaDepartment of Surgery, Section of Orthopedic Surgery, Max Rady College of Medicine Radiology, University of Manitoba. AD-401 820 Sherbrook Street, Winnipeg, Manitoba, Canada R3A 1R9.Department of Medical Imaging, St. Joseph's Health Care London, 268 Grosvenor St, London, Ontario N6A 4V2, CanadaDepartment of Diagnostic Radiology, University of Manitoba, Room O2055, St Boniface General Hospital, 409 Tache Avenue, Winnipeg, Manitoba R2H 2A6, Canada; Corresponding author.We report a case of tibial osteochondroma in a 25-year-old female who presented with a palpable calf mass. This mass was associated with a thick cartilaginous cap on cross-sectional imaging, suggesting chondrosarcoma. A CT-guided biopsy was performed, and histology, however, was consistent with osteochondroma. Orthopedic oncology recommended surgical excision due to the potential high sampling error with chondroid lesions. The patient underwent surgical resection, resulting in a final diagnosis of osteochondroma. No post-surgical complications occurred, and a 12-month follow-up showed no evidence of local recurrence. This case highlights the atypical imaging feature of a thick cartilaginous cap in a benign etiology without malignant transformation.http://www.sciencedirect.com/science/article/pii/S1930043324000402OsteochondromaCartilaginous capChondrosarcoma
spellingShingle Victoria Xie
Yi Yan
Miao Lu
David Perrin
Gregory Garvin
Laurence Stillwater
Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
Radiology Case Reports
Osteochondroma
Cartilaginous cap
Chondrosarcoma
title Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
title_full Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
title_fullStr Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
title_full_unstemmed Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
title_short Tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma: A case report
title_sort tibial osteochondroma with thick cartilage which mimicked a chondrosarcoma a case report
topic Osteochondroma
Cartilaginous cap
Chondrosarcoma
url http://www.sciencedirect.com/science/article/pii/S1930043324000402
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AT yiyan tibialosteochondromawiththickcartilagewhichmimickedachondrosarcomaacasereport
AT miaolu tibialosteochondromawiththickcartilagewhichmimickedachondrosarcomaacasereport
AT davidperrin tibialosteochondromawiththickcartilagewhichmimickedachondrosarcomaacasereport
AT gregorygarvin tibialosteochondromawiththickcartilagewhichmimickedachondrosarcomaacasereport
AT laurencestillwater tibialosteochondromawiththickcartilagewhichmimickedachondrosarcomaacasereport