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MSK - Week 6 (+review session) Diseases, Disorders, Things that Go Wrong

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MSK - Week 6 (+review session) Diseases, Disorders, Things that Go Wrong osteochondroma is AKA exostosis osteochondroma definition benign cartilage-capped tumor, attached to the underlying skeleton by a bony stalk (extension of the cartilaginous plate) osteochondroma ...

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  • December 20, 2023
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MSK - Week 6 (+review session)
Diseases, Disorders, Things that Go
Wrong




osteochondroma is AKA exostosis

osteochondroma definition benign cartilage-capped tumor, attached to the underlying skeleton
by a bony stalk (extension of the cartilaginous plate)

osteochondroma epidemiology 10-30 yrs

osteochondroma presentation - "incidental" finding or pain in long bone metaphysis
- 1-20 cm in size
- typically stop growing with normal growth plates: lesions may rarely progress to
chondrosarcoma

osteochondroma pathology - cartilaginous cap
- disorganized growth plate with ossification towards the base

osteochondroma site metaphysis near the growth plate of long tubular bones, especially near
knee

multiple hereditary exostosis syndrome (MHES) multiple benign cartilage-capped tumors

Mafucci syndrome multiple enchondromas + hemangiomas

Ollier disease multiple enchondromas only

Chondroma (Enchondroma) definition benign tumors of hyaline cartilage

Chondroma (Enchondroma) epidemiology age: 20-50 yrs

Chondroma (Enchondroma) signs/symptoms- often asymptomatic

, - radiology shows central calcification, thin cortex

Chondroma pathologybenign cartilage and reactive bone

Chondroma (Enchondroma) genetics germline loss of function mutations in EXT1 or EXT2
genes (abnormal chondrocyte development)

Enchondroma Benign tumor consisting of cartilage in medullary cavity

Juxtacortical chondroma chondroma on bone surface

chondroblastoma definition benign, chondroid-producing neoplasm composed of chondroblasts

chondroblastoma signs/symptoms - lytic lesion in long bone epiphysis, well-defined margins
- mature cartilage
- insidious onset of bone pain, local swelling, joint stiffness, effusion, limp
- skull bone tumors -> seizures and progressive hearing loss

chondroblastoma site long bone epiphysis

chondroblastoma pathology "chicken wire" matrix = mature or immature chondroid cells and
poorly formed matrix

chondromyxoid fibroma definition benign cartilaginous tumor of young adults, arising in
proximal or distal parts of long bones

chondromyxoid fibroma signs/symptoms - pain/swelling/tenderness/stiffness
- radiology:
- geographic bone destruction
- sclerotic rim
- lobated/scalloped margins
- internal trabeculations

chondromyxoid fibroma sites proximal or distal parts of long bones

chondromyxoid fibroma pathology chondrocytes in various stages of maturation

chondrosarcoma definition malignant tumors that produce cartilage

chondrosarcoma epidemiology age >40s
males>females

chondrosarcoma signs/symptoms - pain, swelling, pain
- pathological fracture
- palpable lump or local mass effect
- nodular, glistening gross appearance of bone
- p53 loss

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