Blog Elements

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 28-30 | Julfiqar, Mohd. Aslam, Najmul Huda, Ajay Pant. Authors: Julfiqar [1], Mohd. Aslam [1], Najmul Huda [1], Ajay Pant [1]. [1] Dept of Orthopaedic Surgery, Faculty of Medicine, J.N.Medical College, Aligarh Muslim University, Aligarh, India [2] Department of Orthopaedics, Teerthanker Mahaveer Medical College and […]

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. […]

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

January 10, 2019

Chondroblastoma of the Naviculum: A Diagnostic Dilemma

January 10, 2019

Full Sized Blog Element (Big Preview Pic)

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

January 10, 2019

Vol 5 | Issue 1 | Jan-April 2019 | page: 28-30 | Julfiqar, Mohd. Aslam, Najmul Huda, Ajay Pant.

Authors: Julfiqar [1], Mohd. Aslam [1], Najmul Huda [1], Ajay Pant [1].

[1] Dept of Orthopaedic Surgery, Faculty of Medicine, J.N.Medical College, Aligarh Muslim University, Aligarh, India
[2] Department of Orthopaedics, Teerthanker Mahaveer Medical College and Research Centre, TMU, Moradabad, India

Address of Correspondence
Dr. Julfiqar:
Assistant professor, Department of Orthopaedic Surgery, Faculty of Medicine, J.N.Medical College, Aligarh Muslim University, Aligarh, India.
Email: ???

Abstract

Introduction: Ancient schwannomas are rare variant of peripheral nerve sheath tumors characterized by the degeneration and hypocellular areas due to long-standing growth. Clinicoradiologically, these tumors can masquerade other tumors arising from the adjacent tissues. Their resemblance to malignant bone tumor has been reported very rarely in the literature. We tend to report a case of benign peripheral nerve schwannoma that greatly mimicked a juxtacortical osteosarcoma of femur.
Case Report: A 23-year-old male presented with a slow-growing painless mass with paresthesias in his right thigh for the last 2½ years. Clinically, it was suspected to be soft tissue tumor with secondary involvement of adjacent neurovascular bundle; however, plain radiograph and magnetic resonance imaging of his right thigh were suggestive of juxtacortical osteosarcoma of the right femur. Surgical exploration of the mass revealed a well-defined encapsulated mass over the anterior aspect of the right thigh, under the quadriceps muscle without infiltration into the surrounding tissue. Histopathological examination confirmed it to be an ancient schwannoma.
Results: The patient was extremely satisfied with outcomes of surgery, and he was symptom-free and there was no clinical evidence of the recurrence on subsequent follow-up.
Conclusion: A correct pre-operative diagnosis of benign peripheral nerve sheath tumors can be difficult at times. However, a slow-growing mass with the absence of other features of a malignant growth and subsequent histopathological examination including immunostaining can settle the diagnosis in almost all the cases.
Keywords: Benign, Peripheral nerve, Ancient schwannoma, Juxtacortical osteosarcoma.

References

1. Dahl I. Ancient neurilemmoma (schwannoma). Acta Pathol Microbiol Scand 1977;85:812-8.
2. Kuriakose S, Vikram S, Salih S, Balasubramanian S, Pareekutty NM, Nayanar S. Unique surgical issues in the management of a giant retroperitoneal schwannoma and brief review of literature. Case Rep Med 2014;2014:781347.
3. Isobe K, Shimizu T, Akahane T, Kato H. Imaging of ancient schwannoma. AJR Am J Roentgenol 2004;183:331-6.
4. Mwaka ES, Senyonjo P, Kakyama M, Nyati M, Orwotho N, Lukande R. Giant, solitary, ancient schwannoma of the cervico-thoracic spine: A case report and review of the literature. OA Case Reports 2013;2:2.
5. Choudry HA, Nikfarjam M, Liang JJ, Kimchi ET, Conter R, Gusani NJ, et al. Diagnosis and management of retroperitoneal ancient schwannomas. World J Surg Oncol 2009;7:12.
6. Jayaraj SM, Levine T, Frosh AC, Almyeda JS. Ancient schwannoma masquerading as parotid pleomorphic adenoma. J Laryngol Otol 1997;111:1088-90.
7. Lee YS, Kim JO, Park SE. Ancient schwannoma of the thigh mimicking a malignant tumour: A report of two cases, with emphasis on MRI findings. Br J Radiol 2010;83:e154-7.
8. Ackerman LV, Taylor FH. Neurogenous tumors within the thorax; A clinicopathological evaluation of forty-eight cases. Cancer 1951;4:669-91.
9. Enzinger FM, Weiss SW. Benign tumours of peripheral nerves. Soft Tissue Tumours. 3rd ed. St Louis: Mosby; 1995. p. 821-88.
10. Takeuchi M, Matsuzaki K, Nishitani H, Uehara H. Ancient schwannoma of the female pelvis. Abdom Imaging 2008;33:247-52.
11. Kransdorf MJ, Murphey MD, editors. Neurogenic tumours. Imaging of Neurogenic Tumours. 2nd ed. Philadelphia, PA: Lippincot Williams &Wilkins; 2006. p. 328-80.
12. Dahlin DC, Coventy MB. Osteogenic sarcoma: A study of six hundred cases. J Bone Joint Surg Am 1967;49:101-10.
13. Wong KT, Haywood T, Dalinka MK, Kneeland B. Chondroblastic, grade 3 periosteal osteosarcoma. Skeletal Radiol 1995;24:69-71.
14. Sorensen DM, Gokden M, El-Naggar A, Byers RM. Quiz case 1. Periosteal osteosarcoma (PO) of the mandible. Arch Otolaryngol Head Neck Surg 2000;126:550, 552.
15. Murphey MD, Jelinek JS, Temple HD, Flemming DJ, Gannon FH. Imaging of periosteal osteosarcoma: Radiologic-pathologic comparison. Radiol 2004;233:129-38.

How to Cite this article: Julfiqar, Aslam M, Huda N, Pant A. Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur-A Rare Case Report and Literature Review. Journal of Bone and Soft Tissue Tumors Jan-April 2019;5(1): 28-30.

(Abstract Full Text HTML) (Download PDF)

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.

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

Like this:

Chondroblastoma of the Naviculum: A Diagnostic Dilemma

Like this:

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

Like this:

Chondroblastoma of the Naviculum: A Diagnostic Dilemma

Like this:

Full Sized Blog Element (Big Preview Pic)

Giant Ancient Solitary Schwannoma Masquerading as Juxtacortical Osteosarcoma of Femur – A Rare Case Report and Literature Review

Authors: Julfiqar [1], Mohd. Aslam [1], Najmul Huda [1], Ajay Pant [1].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Like this:

Chondroblastoma of the Naviculum: A Diagnostic Dilemma

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

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Like this:

Like this:

Journal of Bone and Soft Tissue Tumors (JBST) Editorial Office

Important Information

Journal of Bone and Soft Tissue Tumors (JBST) License

Half Sized Blog Element (Single Author Style)

Half Sized Blog Element (Multi Author Style)

Like this:

Like this:

Like this:

Like this:

Full Sized Blog Element (Big Preview Pic)

Authors: Julfiqar [1], Mohd. Aslam [1], Najmul Huda [1], Ajay Pant [1].

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Like this:

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

Abstract

References

(Abstract Full Text HTML) (Download PDF)

Like this:

Share this:

Like this:

Journal of Bone and Soft Tissue Tumors (JBST) Editorial Office

Important Information

Journal of Bone and Soft Tissue Tumors (JBST) License