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Lee MC, Seo CE, Kim WY, Kim WS, Kim J, Shin D, Choi H. Subungual Osteochondromas of the Toe: Two Case Reports for Diagnosis and Treatment. Arch Plast Surg 2023; 50:101-105. [PMID: 36755644 PMCID: PMC9902096 DOI: 10.1055/a-1985-1324] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2022] [Accepted: 11/14/2022] [Indexed: 11/25/2022] Open
Abstract
Benign cartilaginous tumors, known as chondrogenic tumors, show cartilage components in the microscopic diagnosis. We present two clinical cases with cartilaginous tumors of the toes showing distinctive clinical manifestations. Two juvenile patients visited our outpatient clinic due to tumors with toenail deformities. A 10-year-old girl presented with a palpable mass with a nail deformity on the left third toe. The initial pathology report was soft tissue chondroma until complete resection. Another 15-year-old male patient visited the dermatology department with a toenail deformity and underwent a punch biopsy. The pathology report was fibrosis with myxoid degeneration. Excisional biopsies were performed for both patients. In the operative field, we observed exophytic tumors connected to the distal phalangeal bones. The final pathology reports were subungual osteochondroma on both patients. The specimen exhibited mature bone trabeculae with a focal cartilaginous cap. Benign cartilaginous tumors have a slow, progressive course and do not show significant symptoms. However, tumors in subungual areas are accompanied by toenail deformities and they can cause pain. Their clinical characteristics lead to a delayed diagnosis. Surgeons can be confused between soft tissue and chondrogenic tumors. When they conduct physical examinations, these categories should be considered in the differential diagnosis.
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Affiliation(s)
- Myung Chul Lee
- Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, South Korea
| | - Chan Eol Seo
- Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, South Korea
| | - Wook Youn Kim
- Department of Pathology, Konkuk University School of Medicine, Seoul, South Korea
| | - Wan Seop Kim
- Department of Pathology, Konkuk University School of Medicine, Seoul, South Korea
| | - Jeenam Kim
- Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, South Korea
| | - Donghyeok Shin
- Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, South Korea
| | - Hyungon Choi
- Department of Plastic and Reconstructive Surgery, Konkuk University School of Medicine, Seoul, South Korea,Address for correspondence Hyungon Choi, MD, PhD Department of Plastic and Reconstructive SurgeryKonkuk University School of Medicine, 120-1 Neungdong-ro, Gwangjin-gu, Seoul 05030South Korea
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Shah A, Adhikari S, Shah S, Bhandari PS, Uprety S. Osteochondroma of talus: A case report from Nepal. Clin Case Rep 2022; 10:e05867. [PMID: 35592046 PMCID: PMC9097038 DOI: 10.1002/ccr3.5867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2022] [Revised: 04/25/2022] [Accepted: 04/27/2022] [Indexed: 11/08/2022] Open
Abstract
Osteochondroma, the most frequent benign bone tumor, develops in the metaphysis of long bones including the proximal humerus, tibia, and distal femur. The involvement of talus is found only in a few patients. Here, we present a case of osteochondroma of the talus in a 52‐year‐old woman who presented with ankle pain and edema. Talus may be affected in the osteochondromas. Surgical excision is a successful technique of treatment for symptomatic osteochondromas with low recurrence, despite the fact that most osteochondromas are treated conservatively.
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Affiliation(s)
- Ajay Shah
- Department of Orthopedics Maharajgunj Medical Campus Tribhuvan University Maharajgunj Nepal
| | - Shirish Adhikari
- Department of Orthopedics Maharajgunj Medical Campus Tribhuvan University Maharajgunj Nepal
| | - Sangam Shah
- Maharajgunj Medical Campus Institute of Medicine Tribhuvan University Maharajgunj Nepal
| | - Prawesh Singh Bhandari
- Department of Orthopedics Maharajgunj Medical Campus Tribhuvan University Maharajgunj Nepal
| | - Suresh Uprety
- Department of Orthopedics Maharajgunj Medical Campus Tribhuvan University Maharajgunj Nepal
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Kirmani TT, Qazi MM, Kangoo KA. Osteochondroma of the proximal phalanx of toe presenting as widening of third web space- a rare case report. Foot (Edinb) 2020; 45:101705. [PMID: 33214074 DOI: 10.1016/j.foot.2020.101705] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Accepted: 05/27/2020] [Indexed: 02/04/2023]
Abstract
Osteochondromas are the most common benign bone tumors, which usually affect the metaphyseal region of long bones. Foot is an unusual location for these tumors with phalanges being a much rare site. Only a few case reports have been made of phalangeal osteochondromas. A patient with proximal phalangeal osteochondroma of third toe, presenting clinically as widening of the third web space, is described. A simple extraperiosteal excision of the tumor was done which resolved his forefoot deformity. At five years followup the patient had no recurrence or symptoms.
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Affiliation(s)
- Tabish Tahir Kirmani
- Department of Orthopedics, Government Medical College, Srinagar, Jammu and Kashmir, 190005 India.
| | - Manaan Masood Qazi
- Department of Orthopedics, Government Medical College, Srinagar, Jammu and Kashmir, 190005 India.
| | - Khurshid Ahmad Kangoo
- Department of Orthopedics, Government Medical College, Srinagar, Jammu and Kashmir, 190005 India.
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Varotto E, Militello PM, Platania E, Sferrazza P, Galassi FM. Paleopathological study of a podal osteochondroma from the prehistoric Hypogeum of Calaforno (Sicily). Clin Anat 2020; 34:19-23. [PMID: 32281156 DOI: 10.1002/ca.23603] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/28/2020] [Revised: 03/04/2020] [Accepted: 04/06/2020] [Indexed: 11/10/2022]
Abstract
In this article, we report a case of isolated podal osteochondroma from the prehistoric Hypogeum of Calaforno (Giarratana, Ragusa, Sicily). Although the phalanx exhibiting the benign tumoral mass comes from a context featuring several commingled remains, the very good state of preservation of this bone allowed us to perform a comprehensive study of the neoplasm by applying a multidisciplinary approach encompassing archeology, morphology, stereomicroscopy, and radiology. The results from this very ancient specimen have been assessed in the light of the available paleopathological literature and clinical implications currently encountered in modern patients.
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Affiliation(s)
- Elena Varotto
- Department of Humanities (DISUM), University of Catania, Catania CT, Italy.,FAPAB Research Center, Avola SR, Italy.,Archaeology, College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, South Australia, Australia
| | | | - Erica Platania
- Department of Humanities (DISUM), University of Catania, Catania CT, Italy
| | - Paolo Sferrazza
- Department of Humanities (DISUM), University of Catania, Catania CT, Italy.,Department of Prehistory, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - Francesco Maria Galassi
- FAPAB Research Center, Avola SR, Italy.,Archaeology, College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, South Australia, Australia.,Santa Lucia Clinic-Polydiagnostic Medical Center, Siracusa SR, Italy
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Miah A, Chu JS, Yegorov A. Post-traumatic osteochondroma of the distal femur. Radiol Case Rep 2017; 13:208-211. [PMID: 29487657 PMCID: PMC5826698 DOI: 10.1016/j.radcr.2017.08.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2017] [Revised: 08/12/2017] [Accepted: 08/20/2017] [Indexed: 02/06/2023] Open
Abstract
Osteochondroma are the most common benign primary bone tumor. They are bony outgrowths surrounded by a characteristic cartilaginous cap, most commonly arising from the long bones. They are most often asymptomatic, usually discovered as incidental findings before the third or fourth decade of life. Although the exact pathogenesis is not fully established, there have been reports of these tumors arising after incidents such as fractures, trauma, radiation, and stem cell transplants. There have been only a few cases describing the development of osteochondroma after traumatic events. This report presents a documented case of an osteochondroma arising at the site of a previous femoral fracture, 10 years after the initial trauma.
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Affiliation(s)
- Akiqul Miah
- Department of Radiology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse 13210, NY, USA
| | - Jason S Chu
- Department of Radiology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse 13210, NY, USA
| | - Arthur Yegorov
- Department of Radiology, SUNY Upstate Medical University, 750 East Adams Street, Syracuse 13210, NY, USA
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Valgus toe deformity of fourth proximal phalanx due to osteochondroma treated with closing wedge osteotomy. Foot Ankle Surg 2014; 20:e51-5. [PMID: 25457671 DOI: 10.1016/j.fas.2014.06.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/08/2014] [Revised: 04/29/2014] [Accepted: 06/27/2014] [Indexed: 02/04/2023]
Abstract
Osteochondroma is the most common benign tumor of all benign and primary bone tumors. It rarely occurs in the proximal phalanx of the lesser toe. The treatment of osteochondroma usually consists of simple resection. However, if other deformities remain, added procedures may be considered. We report a case of a valgus toe deformity of the fourth proximal phalanx due to osteochondroma. The patient was a 21-year-old man who noticed a valgus deformity of his fourth toe over 10 years earlier. He began to experience pain in his fifth toe because of crossover of the fourth toe when wearing formal shoes. Although resection of osteochondroma was performed, the valgus deformity was not sufficiently corrected. Therefore, closing wedge osteotomy of the proximal phalanx was performed at the same time. A good outcome was achieved for this patient.
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