Kuprys Tomas K, Bindra Randip, Borys Dariusz, Nystrom Lukas M
Departments of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL.
Departments of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL.
J Hand Surg Am. 2014 May;39(5):933-6. doi: 10.1016/j.jhsa.2014.01.046. Epub 2014 Mar 20.
Chondroblastoma-like chondroma is a rare tumor that almost exclusively manifests in the hand and presents with a set of unique diagnostic features. This tumor has been described in only a limited number of publications and is thus commonly omitted in the differential diagnosis of hand tumors. The diagnostic imaging and histological specimens may initially appear consistent with a number of relatively more common hand tumors, thereby delaying the diagnosis. We present the case of a 49-year-old woman with chondroblastoma-like chondroma of the hand treated with marginal excision. The physical examination, imaging, and needle biopsy made an initial case for giant cell tumor of tendon sheath until histological analysis of the excised specimen yielded the correct diagnosis.
软骨母细胞瘤样软骨瘤是一种罕见肿瘤,几乎仅见于手部,具有一系列独特的诊断特征。关于这种肿瘤的描述仅有少数出版物,因此在手部肿瘤的鉴别诊断中常被遗漏。其诊断性影像学表现和组织学标本最初可能与一些相对更常见的手部肿瘤相符,从而延误诊断。我们报告一例49岁手部患软骨母细胞瘤样软骨瘤的女性患者,经边缘切除治疗。体格检查、影像学检查及针吸活检最初诊断为腱鞘巨细胞瘤,直到对切除标本进行组织学分析才得出正确诊断。