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DOI: 10.1055/s-0039-1698814
Malignant Transformation of an Enchondroma of the Hand: A Case Report
Article in several languages: English | español
Abstract
We present the case of the transformation of an enchondroma in the middle phalanx of the fourth finger of the left hand into a chondrosarcoma. The patient presented a lesion with clinical history, examination, and radiology findings consistent with an enchondroma, which was conservatively treated. Two years later, the patient came for a medical visit with a clinical and radiological variation of the lesion. Computed tomography scans and biopsy revealed a lesion with sarcomatous degeneration which was confirmed after the controlled amputation of the fourth finger. The malignant transformation potential of an enchondroma must be considered.
Publication History
Received: 04 July 2019
Accepted: 18 September 2019
Article published online:
31 October 2019
© 2020. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Campanacci M. Bone and soft tissue tumors. Springer-Verlag, Wien; New York: 1999
- 2 Bovée JV, van der Heul RO, Taminiau AH, Hogendoorn PC. Chondrosarcoma of the phalanx: a locally aggressive lesion with minimal metastatic potential: a report of 35 cases and a review of the literature. Cancer 1999; 86 (09) 1724-1732
- 3 Hogendoorn PCW, Bovee JM, Nielsen GP. Chapter 15:Chondrosarcoma (grades I–III), including primary and secondary variants and periosteal chondrosarcoma. In: Fletcher CDM, Bridge JA, Hogendoorn PCW, Mertens F. (eds) World Health Organization (WHO) classification of tumours of soft tissue and bone. 4th edition, vol. 5. International Agency for Research on Cancer (IARC). Press, Lyon: France; 2013: 264-268
- 4 Nelson DL, Abdul-Karim FW, Carter JR, Makley JT. Chondrosarcoma of small bones of the hand arising from enchondroma. J Hand Surg Am 1990; 15 (04) 655-659
- 5 Wu KK, Frost HM, Guise EE. A chondrosarcoma of the hand arising from an asymptomatic benign solitary enchondroma of 40 years' duration. J Hand Surg Am 1983; 8 (03) 317-319
- 6 Peiper M, Zornig C. Chondrosarcoma of the thumb arising from a solitary enchondroma. Arch Orthop Trauma Surg 1997; 116 (04) 246-248
- 7 Schauer H, Fiedler B, Walker B, Müller C. [Secondary malignant transformation of an enchondroma of the hand]. Handchir Mikrochir Plast Chir 2006; 38 (03) 188-193
- 8 Ozcanli H, Alimoglu E, Aydin AT. Malignant transformation of an enchondroma of the hand: a case report. Hand Surg 2011; 16 (02) 201-203
- 9 Müller PE, Dürr HR, Nerlich A, Pellengahr C, Maier M, Jansson V. Malignant transformation of a benign enchondroma of the hand to secondary chondrosarcoma with isolated pulmonary metastasis. Acta Chir Belg 2004; 104 (03) 341-344
- 10 Welkerling H, Werner M, Delling G. Zur histologischen Gradeinteilung der Chondrosarkome. Eine qualitative und quantitative Analyse an 74 Fällen des Hamburger Knochentumorregisters. Pathologe 1996; 17 (01) 18-25
- 11 Essadki B, Belabidia B, Fikry T. et al. [Chondrosarcoma of the hand. Diagnostic and therapeutic discussion (three case reports)]. Chir Main 2001; 20 (02) 164-171