Chondromas and multiple enchondromatosis

Introduction The chondromas are a cartilaginous proliferation of mature appearance and moderate size, reason why these tumors are regarded more like hamartomas than real benign tumor. Chondromas represent 10 to 12 % of benign bone tumors. Any bone of an enchondral ossification may be involved. Several bones can be involved, and the disease is called “chondromatosis”. In the review we describe clinical and radiological findings of this pathology as well as indications for reconstructive surgery. Material and methods The review is dedicated to isolated chondromas, periosteal and extraskeletal chondromas, chondromatosis. Results The aspects of epidemiology, clinical presentation, radiology, MRI, prognosis, indications and methods of surgical treatment have been described in the article for each types of chondroma and enchondromatosis. Conclusion Chondromas are benign bone tumors which may be responsible of pathologic fractures. Their surgical treatment consists in curettage and bone grafting or bone-cement filling with or without osteosynthesis. Multiple enchondromatosis should be considered as an osteochondrodysplasia. Its treatment is not the treatment of the multiple chondromas themselves, but of the bone deformities and length discrepancy induced by the disorder. The transformation of some tumors in chondrosarcomas in adolescence or adulthood needs a strict follow up of these patients.

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Arteriovenous Malformations in Childhood: Clinical Presentation, Results After Surgical Treatment, and Long-term Follow-up

Advances in Neurosurgery - Regulation of Cerebral Blood Flow and Metabolism Neurosurgical Treatment of Epilepsy Rehabilitation in Neurosurgery ◽

10.1007/978-3-642-71793-2_60 ◽

1987 ◽

pp. 294-296

Author(s):

W. Kahl ◽

G. Kessel ◽

M. Schwarz ◽

D. Voth

Keyword(s):

Surgical Treatment ◽

Arteriovenous Malformations ◽

Clinical Presentation ◽

Long Term Follow Up

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Complications of Computer Tomography Assisted Radiofrequency Ablation in the Treatment of Osteoid Osteoma

BioMed Research International ◽

10.1155/2019/4376851 ◽

2019 ◽

Vol 2019 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Yunus Oc ◽

Bekir Eray Kilinc ◽

Sahin Cennet ◽

Mehmet Metin Boyacioglu ◽

Rodi Ertugrul ◽

...

Keyword(s):

Radiofrequency Ablation ◽

Osteoid Osteoma ◽

Bone Tumors ◽

Skin Infection ◽

Primary Bone Tumors ◽

Benign Bone Tumors ◽

Superficial Skin ◽

Primary Bone ◽

A Prospective Study

Background. Osteoid osteoma (OO) is one of the most commonly occurring benign bone tumors. It constitutes 10-12% of benign bone tumors and 2-3% of primary bone tumors. In radiofrequency ablation (RFA) treatment, the cells of the tumor are thermally inactivated by the help of electrodes shaped like needles. In our study, we aimed to show the major and minor complications in patients undergoing RFA and to show what should be done to prevent these complications. Methods. The study was carried out as a prospective study on the follow-up of 87 osteoid osteoma patients treated between 2015 and 2017. The youngest of the patients was 1 year old and the oldest was 42 years old. The RFA procedure lasted 10 min on average, excluding anesthesia and preparation. All lesions were ablated at 90 degrees for 7 minutes with the heat increased gradually. All patients were followed up for 1 day in the orthopedics clinic. Results. Complications were observed in 7 patients. The lesions with the most complications were observed to be in the tibia, second-degree burns were seen in 2 patients, and superficial skin infection was observed in 2 patients. In 1 patient, the probe tip was broken and remained within the bone. Intramuscular hematoma was detected in 1 lesion located in the proximal femur. A complaint of numbness in the fingers developed in a lesion located in the metacarpus. Conclusion. Preventive measures should be taken before the procedure in order to prevent minor complications, and, for major complications, close follow-up should be done after the procedure and patients should be kept away from heavy physical activities for the first 3 months.

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Inflammatory Breast Cancer: Clinical Presentation, Diagnosis, Staging Evaluation, Differential Diagnosis, Surgical Treatment, and Follow-Up

Inflammatory Breast Cancer ◽

10.1007/978-0-85729-991-8_4 ◽

2012 ◽

pp. 51-59

Author(s):

Juan Enrique Bargallo-Rocha ◽

Robin J. Shaw-Dulin ◽

Teresa Ramirez-Ugalde ◽

Angel Herrera-Gomez

Keyword(s):

Breast Cancer ◽

Differential Diagnosis ◽

Surgical Treatment ◽

Inflammatory Breast Cancer ◽

Clinical Presentation

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Lymphocytic colitis: clinical presentation and long term course

Gut ◽

10.1136/gut.43.5.629 ◽

1998 ◽

Vol 43 (5) ◽

pp. 629-633 ◽

Cited By ~ 90

Author(s):

B Mullhaupt ◽

U Güller ◽

M Anabitarte ◽

R Güller ◽

M Fried

Keyword(s):

Colonic Mucosa ◽

Clinical Presentation ◽

Collagenous Colitis ◽

Endoscopic Examination ◽

Watery Diarrhoea ◽

Lymphocytic Colitis ◽

Radiological Findings ◽

Benign Course

Background—Lymphocytic colitis is characterised by chronic watery diarrhoea with normal endoscopic or radiological findings and microscopic evidence of pronounced infiltration of the colonic mucosa with lymphocytes.Aim—To investigate the long term clinical and histological evolution of the disease in a large group of patients with well characterised lymphocytic colitis.Methods—Between 1986 and 1995 the histological diagnosis of lymphocytic colitis was obtained in 35 patients; 27 of these agreed to a follow up examination. All clinical, endoscopic, and histopathological records were reviewed at that time and the patients had a second endoscopic examination with follow up biopsies.Results—The patients initially presented with the typical findings of lymphocytic colitis. After a mean (SD) follow up of 37.8 (27.5) months, diarrhoea subsided in 25 (93%) and histological normalisation was observed in 22 (82%) of the 27 patients. Progression from lymphocytic colitis to collagenous colitis was not observed.Conclusions—Lymphocytic colitis is characterised by a benign course with resolution of diarrhoea and normalisation of histology in over 80% of patients within 38 months. Considering the benign course of the disease, the potential benefit of any drug treatment should be carefully weighed against its potential side effects.

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Clinical Features and Treatment of Fibrous Histiocytomas of the Tongue: A Systematic Review

International Archives of Otorhinolaryngology ◽

10.1055/s-0037-1602819 ◽

2017 ◽

Vol 22 (01) ◽

pp. 094-102 ◽

Cited By ~ 3

Author(s):

Austin Nguyen ◽

Adam Vaudreuil ◽

Paul Haun ◽

Gabriel Caponetti ◽

Christopher Huerter

Keyword(s):

Surgical Treatment ◽

Clinical Presentation ◽

Malignant Tumors ◽

Case Reports ◽

Data Synthesis ◽

Excellent Outcome ◽

Fibrous Histiocytomas ◽

Pleomorphic Sarcoma ◽

Level Data

Introduction Benign fibrous histiocytomas are common lesions of the skin that rarely affect the tongue. Such cases are available in the literature exclusively as case reports. Similarly, malignant fibrous histiocytoma, now classified as undifferentiated pleomorphic sarcoma, is exceedingly rare in the tongue and not fully understood. Objectives This study systematically reviews the available literature discussing the clinical and pathological features of malignant and benign fibrous histiocytomas. Data Synthesis A total of 20 cases were included in this review. Patient-level data were extracted from cases to include clinical presentation, workup, treatment, and outcome. Conclusion Benign fibrous histiocytomas are consistent in clinical and histopathologic presentation. Surgical treatment provides excellent outcome, with no recurrence in all excised cases. Malignant tumors have a more aggressive clinical and pathological presentation. Surgical treatment with possible adjuvant radiotherapy resulted in recurrence in 40% of cases (follow-up of 24 months), and death due to disease in 47% of patients (follow-up of 19 months).

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Surgical Treatment for Benign Bone Tumors and Tumorous Lesions of Femur.

Orthopedics & Traumatology ◽

10.5035/nishiseisai.42.409 ◽

1993 ◽

Vol 42 (1) ◽

pp. 409-410

Author(s):

Takeshi Minamizaki ◽

Makoto Okuno ◽

Mitsuru Nakagawa ◽

Kichizo Yamamoto

Keyword(s):

Surgical Treatment ◽

Bone Tumors ◽

Benign Bone Tumors

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Cardiac myxoma: The influence of preoperative clinical presentation and surgical technique on late outcome

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0708401m ◽

2007 ◽

Vol 135 (7-8) ◽

pp. 401-406

Author(s):

Aleksandar Mikic ◽

Biljana Obrenovic-Kircanski ◽

Mladen Kocica ◽

Mile Vranes ◽

Vesna Lackovic ◽

...

Keyword(s):

Surgical Treatment ◽

Clinical Presentation ◽

Cardiac Myxoma ◽

Surgical Techniques ◽

Right Atrial ◽

Functional Improvement ◽

Primary Tumors ◽

Cardiac Myxomas ◽

The Right

Introduction Cardiac myxomas are the most frequent primary tumors of the heart in adults, and they can be found in each of four cardiac chambers. Although biologically benign, due to their unfavorable localization, myxomas are considered "functionally malignant" tumors. Diagnosis of cardiac myxoma necessitates surgical treatment. Objective To analyze: 1) the influence of localization, size and consistency of cardiac myxomas on preoperative symptomatology; 2) the influence of different surgical techniques (left, right, biatrial approach, tumor basis solving) on early, and late outcomes. Method From 1982 to 2000, at the Institute for Cardiovascular Diseases, Clinical Center of Serbia, there were 46 patients with cardiac myxomas operated on, 67.4% of them women, mean age 47.1?16.3 years. The diagnosis was made according to clinical presentation, electrocardiographic and echocardiographic examinations and cardiac catheterization. Follow-up period was 4-18 (mean 7.8) years. Results In 41 (89.1%) patients, myxoma was localized in the left, while in 5 (10.9%), it was found in the right atrium. Average size was 5.8?3.8 cm (range: 1?1 cm to 9?8 cm) and 6?4 cm (range: 3?2 cm to 9?5 cm) for the left and right atrial myxomas, respectively. A racemous form predominated in the left (82.6%) and globous in the right (80%) atrium. Fatigue was the most common general (84.8%) and dyspnoea the most common cardiologic symptom (73.9%). Preoperative embolic events were present in 8 patients (4 pulmonary, 4 systemic). In our series: 1) different localization, size and consistency had no influence on the preoperative symptomatology; 2) surgical treatment applied, regardless of different approaches and basis solving, resulted in excellent functional improvements (63.1% patients in NYHA III and IV class preoperatively vs. 6.7% patients postoperatively) and had no influence on new postoperative rhythm disturbances (8.7% patients preoperatively vs. 24.4% patients postoperatively); 3) early (97.8%), and late survival rates (91.3%) were excellent; 4) there were no relapses during the follow-up period. Conclusion Localization, size and consistency had no influence on the preoperative symptomatology. Excellent survival rate with significant functional improvement, rare postoperative complications and no recurrences, justify the applied strategies of surgical approach and tumor basis solving in our series.

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Benign Hand Tumors (Part I): Cartilaginous and Bone Tumors

Hand ◽

10.1177/1558944720922921 ◽

2020 ◽

pp. 155894472092292

Author(s):

Kai-Lou C. Yue ◽

Jonathan Lans ◽

René M. Castelein ◽

David I. Suster ◽

G. Petur Nielsen ◽

...

Keyword(s):

Bone Tumors ◽

International Classification Of Diseases ◽

Benign Tumors ◽

Recurrence Rates ◽

Giant Cell Tumors ◽

Intralesional Curettage ◽

Bony Tissue ◽

Benign Bone Tumors ◽

Pathologic Fractures ◽

Tumors Of The Hand

Background: Benign tumors of the hand present in a wide array of histological subtypes and compose most of the bony tissue tumors in the hand. This study evaluates the characteristics and treatment of benign bone tumors in light of one institution’s experience. Methods: Histologically confirmed benign tumors of the hand were retrospectively identified using International Classification of Diseases codes from 1992 to 2015. A medical chart review was conducted to collect patient characteristics and tumor epidemiology and treatment. Results: A total of 155 benign bone tumors were identified. The median age of patients at the time of surgery was 39.9 ± 12.8 years. All bone tumors were located in the digits, and most were treated by intralesional curettage (n = 118, 76%). Pathologic fractures occurred in 79 bone tumors (51%). Conclusion: Enchondromas (n = 118, 76%) were the most common bone tumor in this series, whereas giant cell tumors were the most destructive and also had the highest recurrence rate (40%). Awareness of tumor features may help physicians with diagnosis, and awareness of recurrence rates is important when counseling patients.

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Percutaneous Treatments of Benign Bone Tumors

Seminars in Interventional Radiology ◽

10.1055/s-0038-1673640 ◽

2018 ◽

Vol 35 (04) ◽

pp. 324-332 ◽

Cited By ~ 5

Author(s):

Roberto Cazzato ◽

Andrew Gilkison ◽

Jean Caudrelier ◽

Julien Garnon ◽

Afshin Gangi ◽

...

Keyword(s):

Surgical Treatment ◽

Bone Tumors ◽

Percutaneous Treatment ◽

Percutaneous Ablation ◽

Benign Bone Tumor ◽

Mechanical Stabilization ◽

Benign Bone Tumors ◽

Image Guided ◽

Tumor Types ◽

Historical Management

AbstractBenign bone tumors consist of a wide variety of neoplasms that do not metastasize but can still cause local complications. Historical management of these tumors has included surgical treatment for lesion resection and possible mechanical stabilization. Initial percutaneous ablation techniques were described for osteoid osteoma management. The successful experience from these resulted in further percutaneous image-guided techniques being attempted, and in other benign bone tumor types. In this article, we present the most common benign bone tumors and describe the available results for the percutaneous treatment of these lesions.

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