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Chondroblastoma of the Naviculum: A Diagnostic Dilemma

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 25-27 | Monish Malhotra, Sandeep Vijayan, Sourab Shetty. Authors: Monish Malhotra [1], Sandeep Vijayan [2], Sourab Shetty [2]. [1] Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS, Rohtak, Haryana, India, [2] Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India. […]

Parosteal Lipoma of the Lower Limb: A Report of Two Cases

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 21-24 | Imed Sboui, Hend Riahi, Mouna Chelli-Bouaziz, Mohamed Samir Daghfous, Mohamed Fethi Ladeb, Faten Farah. Authors: Imed Sboui [1], Hend Riahi [2], Mouna Chelli-Bouaziz[2], Mohamed Samir Daghfous [1], Mohamed Fethi Ladeb [2], Faten Farah [3]. [1] Department of Orthopaedic, Institut Mohamed Kassab d’orthopédie, Manouba, […]

Chondroblastoma of the Naviculum: A Diagnostic Dilemma

January 10, 2019

Parosteal Lipoma of the Lower Limb: A Report of Two Cases

January 10, 2019

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Chondroblastoma of the Naviculum: A Diagnostic Dilemma

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 25-27 | Monish Malhotra, Sandeep Vijayan, Sourab Shetty.

Authors: Monish Malhotra [1], Sandeep Vijayan [2], Sourab Shetty [2].

[1] Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS, Rohtak, Haryana, India,
[2] Department of Orthopaedics, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Address of Correspondence
Dr. Monish Malhotra,
Department of Orthopaedics, Pandit Bhagwat Dayal Sharma PGIMS, Rohtak – 124001, Haryana, India.
E-mail: drmonish.malhotra14@gmail.com

Abstract

Introduction: Chondroblastoma is a benign tumor characteristically seen in the epiphyseal region of long bones. Its occurrence in the tarsal bones is extremely rare.
Case Report: We report the case of a 17-year-old girl with chondroblastoma mimicking an aneurysmal bone cyst in the naviculum. Along with the primary enbloc excision of the naviculum, a tricortical iliac crest bone graft was placed in the gap to prevent collapse of the medial longitudinal arch.
Conclusion: Chondroblastoma in uncommon sites can present with atypical features and cause dilemma in diagnosis and thereby management.
Keywords: Chondroblastoma, Bone grafting, Aneurysmal bone cyst, Tarsal bones, Naviculum.

References

1. Suneja R, Grimer RJ, Belthur M, Jeys L, Carter SR, Tillman RM, et al. Chondroblastoma of bone: Long-term results and functional outcome after intralesional curettage. J Bone Joint Surg Br 2005;87:974-8.
2. Li XN, Peng ZG, Zhao JP, Zhang ZK. Chondroblastoma of the navicular bone. Iran J Radiol 2014;11:e10848.
3. Fang Z, Chen M. Chondroblastoma associated with aneurysmal cyst of the navicular bone: A case report. World J Surg Oncol 2013;11:50.
4. Springfield DS, Capanna R, Gherlinzoni F, Picci P, Campanacci M. Chondroblastoma. A review of seventy cases. J Bone Joint Surg Am 1985;67:748-55.
5. McLeod RA, Beabout JW. The roentgenographic features of chondroblastoma. Am J Roentgenol Radium Ther Nucl Med 1973;118:464-71.
6. Atalar H, Basarir K, Yildiz Y, Erekul S, Saglik Y. Management of chondroblastoma: Retrospective review of 28 patients. J Orthop Sci 2007;12:334-40.
7. Huvos AG, Marcove RC. Chondroblastoma of bone. A critical review. Clin Orthop Relat Res 1973;95:300-12.

How to Cite this article: Malhotra M, Vijayan S, Shetty S. Chondroblastoma of theNaviculum: A Diagnostic Dilemma. Journal of Bone and Soft Tissue Tumors Jan-Apr 2019;5(1): 25-27.

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Parosteal Lipoma of the Lower Limb: A Report of Two Cases

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 21-24 | Imed Sboui, Hend Riahi, Mouna Chelli-Bouaziz, Mohamed Samir Daghfous, Mohamed Fethi Ladeb, Faten Farah.

Authors: Imed Sboui [1], Hend Riahi [2], Mouna Chelli-Bouaziz[2], Mohamed Samir Daghfous [1], Mohamed Fethi Ladeb [2], Faten Farah [3].

[1] Department of Orthopaedic, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia,
[2] Department of Radiology, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia,
[3] Department of Pathology, Institut Mohamed Kassab d’orthopédie, Manouba, Tunisia.

Address of Correspondence
Dr. Hend Riahi,
10 rue Khalifas Rachidites Menzeh 5 Ariana Tunisia.
E-mail: hend.riahi@gmail.com

Abstract

Introduction: Parosteal lipoma is a rare type of lipoma. Usually, asymptomatic and affecting mainly adults aged over 40.
Case Report: We report two cases localized in the lower limb. The first happened in a man presenting a painless swelling of the fibula, represented by a well-defined fatty tissue lesion. The second case concerned women presenting an asymmetry of the calf, represented by a well-defined mass composed of fatty tissue. The lesions were resected from surrounding soft tissues and underlying periosteum. The diagnosis was confirmed by histology.
Conclusion: Parosteal lipoma has the same characteristics of computed tomography (CT) and magnetic resonance imaging (MRI) as subcutaneous fat. The identification of fat is best performed with CT or MRI. Its recognition is mandatory to optimize clinical management including diagnosis, biopsy, and treatment.
Keywords: Deep-seated lipoma, Computed tomography, Magnetic resonance imaging.

References

1. Fleming RJ, Alpert M, Garcia A. Parosteal lipoma. AJR Am J Roentgenol 1962;87:1075-84.
2. Rodriguez-Peralto JL, Lopez-Barea F, Gonzales-Lopes J, Lamas-Lorenzo M. Case report 821. Skeletal Radiol 1994;23:67-9.
3. Asirvatham R, Linjawi T. Ossifying parosteal lipoma with exuberant cortical reaction. A case report. Int Orthop 1994;18:55-6.
4. Amores-Ramírez F, Hierro Martín I, Montañez Heredia E, Garcia-Fortea P, Garcia Salguero AI, Fernandez de Rota Conde A, et al. Painless mass in leg: Diagnosis and discussion. Skeletal Radiol 2009;38:1105-6, 1119-20.
5. Murphey MD, Johnson DL, Bhatia PS, Neff JR, Rosenthal HG, Walker CW, et al. Parosteal lipoma: MR imaging characteristics. AJR Am J Roentgenol 1994;162:105-10.
6. Schajowicz F. Neoplasia Óssea e Lesões Pseudotumorais. 2nd ed. Rio de Janeiro: Revinter; 2000. p. 403-46.
7. John SH, Chad CB, Kathleen SB, Valerie AF, Marcia FB, Joseph B. Parosteal lipoma of the proximal radius. Austin J Musculoskelet Disord 2016;3:1027.
8. Murphey MD, Arcara LK, Fanburg-Smith J. From the archives of the AFIP: Imaging of musculoskeletal liposarcoma with radiologic-pathologic correlation. Radiographics 2005;25:1371-95.
9. Murphey MD, Carroll JF, Flemming DJ, Pope TL, Gannon FH, Kransdorf MJ, et al. From the archives of the AFIP: Benign musculoskeletal lipomatous lesions. Radiographics 2004;24:1433-66.
10. Greco M, Mazzocchi M, Ribuffo D, Dessy LA, Scuderi N. Parosteal lipoma. Report of 15 new cases and a review of the literature. Ann Ital Chir 2013;84:229-35.
11. Rosenberg AE, Bridge JA. Lipoma of bone. In: Fletcher CD, Unni KK, Mertens F, editors. Pathology and Genetics of Tumours of the Soft Tissues and Bones. Lyon: IARC Press; 2002. p. 328-9.
12. Kawashima A, Magid D, Fishman EK, Hruban RH, Ney DR. Parosteal ossifying lipoma: CT and MR findings. J Comput Assist Tomogr 1993;17:147-50.
13. Seki N, Okada K, Miyakoshi N, Shimada Y, Nishida J, Itoi E, et al. Common peroneal nerve palsy caused by parosteal lipoma of the fibula. J Orthop Sci 2006;11:88-91.
14. Resnick D, editor. Tumor and tumor-like diseases. In: Diagnosis of Bone and Joint Disorders. 4th ed. Philadelphia, PA: Saunders; 1995. p. 3745-4128.
15. Dorfman HD. Miscellaneous mesenchymal tumors. In: Dorfman H, Czerniak B, editors. Bone Tumors. St Louis, Mo: Mosby; 1998. p. 913-48.
16. Petit MM, Swarts S, Bridge JA, Van de Ven WJ. Expression of reciprocal fusion transcripts of the HMGIC and LPP genes in parosteal lipoma. Cancer Genet Cytogenet 1998;106:18-23.
17. Kransdorf M, Murphey M. Lipomatous tumors. In: Imaging of Soft Tissue Tumors. Philadelphia, PA: Saunders; 1997. p. 57-101.
18. Obermann EC, Bele S, Brawanski A, Knuechel R, Hofstaedter F. Ossifying lipoma. Virchows Arch 1999;434:181-3.
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How to Cite this article: Sboui I, Riahi H, Chelli-Bouaziz M, Daghfous MS, Ladeb MF, Farah F. Parosteal Lipoma of the Lower Limb: A Report of Two Cases. Journal of Bone and Soft Tissue Tumors Jan-Apr 2019;5(1): 21-24.

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Chondroblastoma of the Naviculum: A Diagnostic Dilemma

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Parosteal Lipoma of the Lower Limb: A Report of Two Cases

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Chondroblastoma of the Naviculum: A Diagnostic Dilemma

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Parosteal Lipoma of the Lower Limb: A Report of Two Cases

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Chondroblastoma of the Naviculum: A Diagnostic Dilemma

Authors: Monish Malhotra [1], Sandeep Vijayan [2], Sourab Shetty [2].

Abstract

References

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Parosteal Lipoma of the Lower Limb: A Report of Two Cases

Authors: Imed Sboui [1], Hend Riahi [2], Mouna Chelli-Bouaziz[2], Mohamed Samir Daghfous [1], Mohamed Fethi Ladeb [2], Faten Farah [3].

Abstract

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Authors: Monish Malhotra [1], Sandeep Vijayan [2], Sourab Shetty [2].

Abstract

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Authors: Imed Sboui [1], Hend Riahi [2], Mouna Chelli-Bouaziz[2], Mohamed Samir Daghfous [1], Mohamed Fethi Ladeb [2], Faten Farah [3].

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