Medical Journal of the Islamic Republic Of Iran
مجله پزشکی جمهوری اسلامی ایران
Med J Islam Repub Iran
Medical Sciences
http://mjiri.iums.ac.ir
2
journal2
1016-1430
2251-6840
8
10.18869/mjiri
14
8888
13
en
jalali
1390
8
1
gregorian
2011
11
1
25
3
online
1
fulltext
en
Enchondroma of the hand: the role of biopsy in the course of diagnosis and treatment
Orthopedic Surgery
Orthopedic Surgery
case report
case report
<p> <strong>Abstract</strong></p><p> <strong>Background:</strong> Enchondroma, is the most frequent bone tumor of the hand , but chondrosarcoma is rare at this location .There is a high possibility of correct diagnosis of enchondroma and differentiating from its malignant counterpart by precise clinical and radiologic assessment without biopsy, a subject of debate in the literature . At the present study we substantially investigate this problem, in our patients.</p><p> <strong>Methods:</strong> Case records, radiographs, and histology of 52 solitary enchondroma patients who underwent operation in our hospital between 1998 and 2010, were reviewed. Special attention paid to pre and post –op diagnoses, and compared with each other.</p><p> <strong>Results: </strong>Eighty-six percent of our patients were between the second to fourth decades of life, with a slight female predominance. In all, the primary diagnosis of enchondroma according to clinical presentation and radiographic appearance, supported by intraoperative gross appearance of tumor, and confirmed histologically by permanent section analysis. There was no mismatch between radiologic and histologic diagnosis.</p><p> <strong>Conclusion:</strong> we concluded that correct diagnosis of enchondroma is almost always possible by precise clinical and radiographic assessment with no need for histologic confirmation before definitive treatment.</p>
enchondroma, hand, biopsy, treatment.
127
130
http://mjiri.iums.ac.ir/browse.php?a_code=A-10-1-251&slc_lang=en&sid=1
Davod
Jafari
djafari@tums.ac.ir
20031947532846002592
20031947532846002592
Yes
Tehran University of Medical Sciences, Tehran, Iran.
Hooman
Shariatzadeh
shariatzade-h@hotmail.com
20031947532846002593
20031947532846002593
No
Tehran University of Medical Sciences, Tehran, Iran.
Farid
Najd Mazhar
fnajdmazhar@yahoo.com
20031947532846002594
20031947532846002594
No
Tehran University of Medical Sciences, Tehran, Iran.
Mohammad Hossein
Ghahremani
mhqahremani@yahoo.com
20031947532846002595
20031947532846002595
No
Department of Orthopedic Surgery, Shafa YahyaianUniversity Hospital, Baharestan Sq., Tehran, Iran .
Alireza
Jalili
alirezajalili.jalili@gmail.com
20031947532846002596
20031947532846002596
No
Hormozgan University of Medical Sciences, Mohamadi Hospital, Bandar Abbas, Iran.