Herode Prafulla, Shroff Abhijeet, Patel Pranav, Aggarwal Pallav, Mandlewala Vishal
Department of Orthopaedics, Dr. D. Y. Patil Medical College and Hospital, Pimpri, Pune, Maharashtra - 411018. India.
J Orthop Case Rep. 2015 Jul-Sep;5(3):51-3. doi: 10.13107/jocr.2250-0685.307.
Osteochondroma are benign neoplasms which arise from small cartilage nodules within the periosteum. They can be either pedunculated or sessile and are more common in the extremities. They rarely develop in bones like scapula, feet, hands and pelvis. Management of the lesion is by en-bloc excision.
We present a case of 18 year female, who came with a swelling in right groin since 2 years which was diagnosed to be osteochondroma on x-ray and magnetic resonance imaging. Excision biopsy was done as the patient wanted it to be removed for cosmetic purpose and confirmed it to be non-malignant osteochondroma. There has been no recurrence even after 1 year of follow up.
Thus osteochondroma of the pelvis should be kept in mind as a differential diagnosis when evaluating mass in pelvis. Also these have to be removed when they pose cosmetic problems.
骨软骨瘤是起源于骨膜内小软骨结节的良性肿瘤。它们可以是带蒂的或无蒂的,在四肢更为常见。它们很少发生在肩胛骨、足部、手部和骨盆等骨骼中。病变的处理方法是整块切除。
我们报告一例18岁女性病例,该患者自两年前起右腹股沟出现肿胀,经X线和磁共振成像诊断为骨软骨瘤。由于患者出于美容目的希望切除,遂进行了切除活检,结果证实为非恶性骨软骨瘤。随访1年,未见复发。
因此,在评估骨盆肿块时,应将骨盆骨软骨瘤作为鉴别诊断之一。此外,当它们引起美容问题时,必须予以切除。