Metaphyseal and diaphyseal chondroblastomas
Skeletal Radiology, ISSN: 0364-2348, Vol: 40, Issue: 12, Page: 1563-1573
2011
- 31Citations
- 7Usage
- 34Captures
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Example: if you select the 1-year option for an article published in 2019 and a metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019. If you select the 3-year option for the same article published in 2019 and the metric category shows 90%, that means that the article or review is performing better than 90% of the other articles/reviews published in that journal in 2019, 2018 and 2017.
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Metrics Details
- Citations31
- Citation Indexes31
- 31
- CrossRef23
- Usage7
- Abstract Views7
- Captures34
- Readers34
- 34
Article Description
Objective: Epiphyseal/apophyseal locations are important diagnostic radiological features of chondroblastomas (CB). Although the tumor may secondarily involve the metaphysis, reports of primary metaphyseal or diaphyseal CB without any epiphyseal or apophyseal involvement are exceptionally rare and frequently present as a diagnostic dilemma. The purpose of this study was to present seven cases of pure metaphyseal and/or diaphyseal CB along with a review of pertinent literature. Methods: A retrospective review of databases at two major referral centers revealed 390 cases of CB between 1960 and 2009. Out of these, seven histologically proven CB cases (1.8%) were found to be radiologically located in metaphysis and/or diaphysis, without involving the epiphysis and/or apophysis, and formed the study cohort. Results: There were four males and three females (age range 2-25 years). Locations included proximal femur (n = 1), distal femur (2), proximal humerus (2), clavicle (1), and proximal radius (1). All lesions showed marginal sclerosis. A periosteal reaction was seen in five cases (71%), cortical expansion in four cases (57%), and chondroid matrix in four cases (57%). A CT (two cases) demonstrated a matrix in both cases. An MR (one case) showed extensive perilesional edema. Bone scan (one case) showed intense uptake. Conclusion: Pure metaphyseal and/or diaphyseal CB are exceedingly rare. A presumptive diagnosis may be considered in the appropriate age group in the presence of chondroid matrix, perilesional edema, periosteal reaction, and marginal sclerosis. Regardless of all the diagnostic possibilities, biopsy may still be required. However, knowledge of this entity will help make the final diagnosis and guide the correct treatment. © 2011 ISS.
Bibliographic Details
http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=80755171493&origin=inward; http://dx.doi.org/10.1007/s00256-011-1227-y; http://www.ncbi.nlm.nih.gov/pubmed/21773875; http://link.springer.com/10.1007/s00256-011-1227-y; https://hsrc.himmelfarb.gwu.edu/smhs_orthosurg_facpubs/551; https://hsrc.himmelfarb.gwu.edu/cgi/viewcontent.cgi?article=1551&context=smhs_orthosurg_facpubs; https://dx.doi.org/10.1007/s00256-011-1227-y; https://link.springer.com/article/10.1007/s00256-011-1227-y; http://www.springerlink.com/index/10.1007/s00256-011-1227-y; http://www.springerlink.com/index/pdf/10.1007/s00256-011-1227-y
Springer Science and Business Media LLC
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