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Periosteal Kondromanın en blok Rezeksiyonu Sonrası Klinik Sonuçları: Geriye Dönük Klinik Çalışma

Year 2021, Volume: 23 Issue: 2, 192 - 196, 30.08.2021
https://doi.org/10.18678/dtfd.939661

Abstract

Amaç: Periosteal kondroma oldukça nadir gözlenen ve ayırıcı tanısı zor bir kondroid tümördür. Yerleşimi diğer yüzeyel periosteal lezyonlar ile benzerlik gösterir. Bu lezyonlar farklı yaş gruplarında görülmektedir. Cerrahi tedavisinde küretaj, marjinal eksizyon veya en blok rezeksiyon uygulanmaktadır. Nüksü azaltmak amacıyla en blok rezeksiyon tercih edilir. Bu çalışmada, periosteal kondromanın ayırıcı tanı ve tedavisinde iki ortopedik onkoloji merkezinin tecrübesinin aktarılması amaçlanmıştır.
Gereç ve Yöntemler: İki kliniğe ait veriler geriye dönük olarak incelendi. Demografik veriler (yaş, cinsiyet), klinik bulgular (ağrı, şişlik, basıya bağlı semptom, takip süresi), radyolojik bulgular (kitle büyüklüğü, kemik invazyonu), patoloji sonuçları (biyopsi, eksizyon) ve ameliyat sonrası komplikasyonlar (nüks) hakkında veri toplandı.
Bulgular: Çalışmaya 14 hasta dahil edildi. Tüm vakalarda en blok rezeksiyon uygulandı. Hastaların ortalama yaşı 31,5±16,5 (aralık, 8-58) yıl idi. 10 (%71,4) hasta erkek cinsiyetti. Ortalama şikayet süresi 6,6±4,8 (aralık, 0-18) ay, ortalama takip süresi ise 46,7±39,6 (aralık, 6-132) ay idi. Dokuz (%64,3) hastada ağrı şikayeti mevcuttu. Altı (%42,9) hastada şişlik şikayeti mevcuttu. Bir (%7,1) hastada palpe edilebilen bir kitle mevcuttu. Bir (%7,1) hastada şikayet bulunmuyordu. Bir (%7,1) hastaya biyopsi yapıldı. Takip süresince nüks veya en blok rezeksiyon sonrasında herhangi bir komplikasyon görülmedi.
Sonuç: Benign ve malign periosteal kondroid tümörlerin görüntüleme ve histopatolojik bulguları çakışabilir ve bu lezyonların tedavisinde, ayırıcı tanının doğru yapılması oldukça önem arz eder. En blok rezeksiyon takip sırasında nüksü önlemektedir.

References

  • Nosanchuk JS, Kaufer H. Recurrent periosteal chondroma. Report of two cases and a review of the literature. J Bone Joint Surg Am. 1969;51(2):375-80.
  • Lichtenstein L, Hall JE. Periosteal chondroma; a distinctive benign cartilage tumor. J Bone Joint Surg Am. 1952;24A(3):691-7.
  • Jaffe HL. Juxtacortical chondroma. Bull Hosp Joint Dis. 1956;17(1):20-9.
  • Rolvien T, Zustin J, Amling M, Yastrebov O. Periosteal chondroma of the cuboid with secondary aneurysmal bone cyst in a setting of secondary hyperparathyroidism. Foot Ankle Surg. 2018;24(1):71-5.
  • Imura Y, Shigi A, Outani H, Hamada K, Tamura H, Morii E, et al. A giant periosteal chondroma of the distal femur successfully reconstructed with synthetic bone grafts and a bioresorbable plate: a case report. World J Surg Oncol. 2014;12:354.
  • Learmont JP, Powell G, Slavin J, Facey M, Pianta M. A case of benign periosteal chondroma seeding into humeral medullary bone via percutaneous needle biopsy tract. BJR Case Rep. 2015;1(1):20150104.
  • Boriani S, Bacchini P, Bertoni F, Campanacci M. Periosteal chondroma. A review of twenty cases. J Bone Joint Surg Am. 1983;65(2):205-12.
  • Motififard M, Hatami S, Jamalipour Soufi G. Periosteal chondroma of pelvis - an unusual location. Int J Burns Trauma. 2020;10(4):174-80.
  • Samaddar A, Mishra AK, Katti M, Gangopadhayay A. Successful surgical management of periosteal chondroma of the left second rib: a case report. Indian J Thorac Cardiovasc Surg. 2019;35(1):101-3.
  • Kang DH, Kang BS, Sim HB, Kim M, Kwon WJ. Periosteal chondroma with spinal cord compression in the thoracic spinal canal: a case report. Skeletal Radiol. 2016;45(8):1133-7.
  • Pandey PK, Verma RR. Periosteal chondroma of the radial diaphysis-rare presentation and review of literature. Indian J Surg Oncol. 2020;11(Suppl 2):232-6.
  • Nishio J, Arashiro Y, Mori S, Iwasaki H, Naito M. Periosteal chondroma of the distal tibia: Computed tomography and magnetic resonance imaging characteristics and correlation with histological findings. Mol Clin Oncol. 2015;3(3):677-81.
  • Debbarma I, Agarwal S, Ahmed P, Garg AM, Ameer F. Subtotal scapulectomy in a patient with chondroma scapula: A case report. Indian J Case Rep. 2019;5(1):19-21.
  • Rolvien T, Zustin J, Amling M, Yastrebov O. Periosteal chondroma of the cuboid with secondary aneurysmal bone cyst in a setting of secondary hyperparathyroidism. Foot Ankle Surg. 2018;24(1):71-5.
  • Zheng K, Yu X, Xu S, Xu M. Periosteal chondroma of the femur: A case report and review of the literature. Oncol Lett. 2015;9(4):1637-40.
  • Rabarin F, Laulan J, Saint Cast Y, Césari B, Fouque PA, Raimbeau G. Focal periosteal chondroma of the hand: a review of 24 cases. Orthop Traumatol Surg Res. 2014;100(6):617-20.
  • Jesus-Garcia R, Osawa A, Filippi RZ, Viola DC, Korukian M, de Carvalho Campos Neto G, et al. Is PET-CT an accurate method for the differential diagnosis between chondroma and chondrosarcoma? Springerplus. 2016;5:236.

Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study

Year 2021, Volume: 23 Issue: 2, 192 - 196, 30.08.2021
https://doi.org/10.18678/dtfd.939661

Abstract

Aim: Periosteal chondroma is a rare chondroma that is difficult to differentiate. Its localization is similar to other surface periosteal lesions. These lesions have a wide distribution of age. Curettage, marginal excision, or en bloc resection are applied in the surgical treatment. En bloc resection is preferred to reduce recurrence. In this study, we aimed to share the experience of two orthopedic oncology centers in the differential diagnosis and treatment of periosteal chondroma.
Material and Methods: Data from two clinics were analyzed retrospectively. Data were collected on demographic data (age, gender), clinical findings (pain, swelling, pressure-related symptom, duration of follow-up), radiological findings (size, bony invasion), pathology results (biopsy, excision), and postoperative complications (recurrence).
Results: Fourteen patients were included in the study. En bloc resection was performed in all cases. The mean age of the patients was 31.5±16.5 (range, 8-58) years. 10 (71.4%) patients were male. The mean duration of symptoms was 6.6±4.8 (range, 0-18) months, and the mean follow-up was 46.7±39.6 (range, 6-132) months. Nine (64.3%) patients had pain. Six (42.9%) patients had swelling. One patient (7.1%) had a palpable mass. There was no complaint in 1 (7.1%) patient. One (7.1%) patient underwent biopsy. During the follow-up, no recurrence or complication was observed after en bloc resection.
Conclusion: Imaging and histopathological findings of benign and malignant periosteal chondroid tumors may overlap, and accurate differential diagnosis is crucial in the treatment of these lesions. En bloc resection prevents recurrence during follow-up.

References

  • Nosanchuk JS, Kaufer H. Recurrent periosteal chondroma. Report of two cases and a review of the literature. J Bone Joint Surg Am. 1969;51(2):375-80.
  • Lichtenstein L, Hall JE. Periosteal chondroma; a distinctive benign cartilage tumor. J Bone Joint Surg Am. 1952;24A(3):691-7.
  • Jaffe HL. Juxtacortical chondroma. Bull Hosp Joint Dis. 1956;17(1):20-9.
  • Rolvien T, Zustin J, Amling M, Yastrebov O. Periosteal chondroma of the cuboid with secondary aneurysmal bone cyst in a setting of secondary hyperparathyroidism. Foot Ankle Surg. 2018;24(1):71-5.
  • Imura Y, Shigi A, Outani H, Hamada K, Tamura H, Morii E, et al. A giant periosteal chondroma of the distal femur successfully reconstructed with synthetic bone grafts and a bioresorbable plate: a case report. World J Surg Oncol. 2014;12:354.
  • Learmont JP, Powell G, Slavin J, Facey M, Pianta M. A case of benign periosteal chondroma seeding into humeral medullary bone via percutaneous needle biopsy tract. BJR Case Rep. 2015;1(1):20150104.
  • Boriani S, Bacchini P, Bertoni F, Campanacci M. Periosteal chondroma. A review of twenty cases. J Bone Joint Surg Am. 1983;65(2):205-12.
  • Motififard M, Hatami S, Jamalipour Soufi G. Periosteal chondroma of pelvis - an unusual location. Int J Burns Trauma. 2020;10(4):174-80.
  • Samaddar A, Mishra AK, Katti M, Gangopadhayay A. Successful surgical management of periosteal chondroma of the left second rib: a case report. Indian J Thorac Cardiovasc Surg. 2019;35(1):101-3.
  • Kang DH, Kang BS, Sim HB, Kim M, Kwon WJ. Periosteal chondroma with spinal cord compression in the thoracic spinal canal: a case report. Skeletal Radiol. 2016;45(8):1133-7.
  • Pandey PK, Verma RR. Periosteal chondroma of the radial diaphysis-rare presentation and review of literature. Indian J Surg Oncol. 2020;11(Suppl 2):232-6.
  • Nishio J, Arashiro Y, Mori S, Iwasaki H, Naito M. Periosteal chondroma of the distal tibia: Computed tomography and magnetic resonance imaging characteristics and correlation with histological findings. Mol Clin Oncol. 2015;3(3):677-81.
  • Debbarma I, Agarwal S, Ahmed P, Garg AM, Ameer F. Subtotal scapulectomy in a patient with chondroma scapula: A case report. Indian J Case Rep. 2019;5(1):19-21.
  • Rolvien T, Zustin J, Amling M, Yastrebov O. Periosteal chondroma of the cuboid with secondary aneurysmal bone cyst in a setting of secondary hyperparathyroidism. Foot Ankle Surg. 2018;24(1):71-5.
  • Zheng K, Yu X, Xu S, Xu M. Periosteal chondroma of the femur: A case report and review of the literature. Oncol Lett. 2015;9(4):1637-40.
  • Rabarin F, Laulan J, Saint Cast Y, Césari B, Fouque PA, Raimbeau G. Focal periosteal chondroma of the hand: a review of 24 cases. Orthop Traumatol Surg Res. 2014;100(6):617-20.
  • Jesus-Garcia R, Osawa A, Filippi RZ, Viola DC, Korukian M, de Carvalho Campos Neto G, et al. Is PET-CT an accurate method for the differential diagnosis between chondroma and chondrosarcoma? Springerplus. 2016;5:236.
There are 17 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Erhan Okay 0000-0003-2443-2505

Ayse Toksöz 0000-0003-1708-0003

Tulay Zenginkinet This is me 0000-0003-3056-2074

Begümhan Baysal This is me 0000-0003-0470-1683

Seyit Ali Gümüştaş 0000-0002-3410-2465

Korhan Özkan 0000-0002-3755-1813

Publication Date August 30, 2021
Submission Date May 19, 2021
Published in Issue Year 2021 Volume: 23 Issue: 2

Cite

APA Okay, E., Toksöz, A., Zenginkinet, T., Baysal, B., et al. (2021). Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study. Duzce Medical Journal, 23(2), 192-196. https://doi.org/10.18678/dtfd.939661
AMA Okay E, Toksöz A, Zenginkinet T, Baysal B, Gümüştaş SA, Özkan K. Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study. Duzce Med J. August 2021;23(2):192-196. doi:10.18678/dtfd.939661
Chicago Okay, Erhan, Ayse Toksöz, Tulay Zenginkinet, Begümhan Baysal, Seyit Ali Gümüştaş, and Korhan Özkan. “Clinical Outcomes After En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study”. Duzce Medical Journal 23, no. 2 (August 2021): 192-96. https://doi.org/10.18678/dtfd.939661.
EndNote Okay E, Toksöz A, Zenginkinet T, Baysal B, Gümüştaş SA, Özkan K (August 1, 2021) Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study. Duzce Medical Journal 23 2 192–196.
IEEE E. Okay, A. Toksöz, T. Zenginkinet, B. Baysal, S. A. Gümüştaş, and K. Özkan, “Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study”, Duzce Med J, vol. 23, no. 2, pp. 192–196, 2021, doi: 10.18678/dtfd.939661.
ISNAD Okay, Erhan et al. “Clinical Outcomes After En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study”. Duzce Medical Journal 23/2 (August 2021), 192-196. https://doi.org/10.18678/dtfd.939661.
JAMA Okay E, Toksöz A, Zenginkinet T, Baysal B, Gümüştaş SA, Özkan K. Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study. Duzce Med J. 2021;23:192–196.
MLA Okay, Erhan et al. “Clinical Outcomes After En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study”. Duzce Medical Journal, vol. 23, no. 2, 2021, pp. 192-6, doi:10.18678/dtfd.939661.
Vancouver Okay E, Toksöz A, Zenginkinet T, Baysal B, Gümüştaş SA, Özkan K. Clinical Outcomes after En Bloc Resection of Periosteal Chondroma: A Retrospective Clinical Study. Duzce Med J. 2021;23(2):192-6.