Khandeparkar Siddhi Gaurish Sinai, Joshi Avinash, Khande Tejal, Kesari Mrunal
Department of Pathology, Shrimati Kashibai Navale Medical College and General Hospital, Pune, Maharashtra, India.
J Cytol. 2014 Jan;31(1):40-3. doi: 10.4103/0970-9371.130695.
Giant soft tissue chondromas (STCs) of the wrist are seldom encountered in clinical practice. Precise diagnosis of benign STC may pose diagnostic difficulties on clinical and radiological findings alone. We encountered a slowly growing soft tissue neoplasm in the radial aspect of the wrist joint of the right hand in a 52-year-old male, masquerading as a calcified hematoma, as suggested by magnetic resonance imaging. On cytohistopathological examination, it turned out to be a rare giant STC. The variable cellularity, in conjunction with cellular immaturity and atypia, could mislead one to a malignant pathological interpretation. Diagnosis is based on both radiological and cytohistological evaluation, which is indispensable for determining the tumor type. The detailed clinical, radiological, cytomorphological, and immune-histopathological study was carried out, which has prompted us to report this case along with a review of the literature.
腕部巨大软组织软骨瘤（STC）在临床实践中很少见。仅依靠临床和影像学表现对良性STC进行准确诊断可能存在困难。我们遇到一名52岁男性，其右手腕关节桡侧有一个生长缓慢的软组织肿瘤，磁共振成像显示该肿瘤疑似钙化血肿。经细胞组织病理学检查，结果发现是一种罕见的巨大STC。细胞数量的变化，加上细胞不成熟和异型性，可能会使人误以为是恶性病理表现。诊断基于放射学和细胞组织学评估，这对于确定肿瘤类型是必不可少的。我们进行了详细的临床、放射学、细胞形态学和免疫组织病理学研究，这促使我们报告该病例并对文献进行综述。
