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When should I be concerned about an enchondroma?
There is greater concern if the pain occurs when you are at rest or at night and does not go away. Pain caused by activity is less worrisome. In some cases, your doctor may give you an injection into the joint near the tumor. If the injection relieves your pain, it indicates that the enchondroma is not the cause.
Should an enchondroma be removed?
If an enchondroma isn’t causing you any pain, it usually doesn’t need to be treated. If you have multiple enchondromas or if an enchondroma is causing you pain, your healthcare provider will typically recommend surgery to remove them. Multiple enchondromas can weaken your bones and cause fractures.
What is an enchondroma on the foot?
Enchondromas are small benign tumors made up of cartilage that form within the miniature long bone of the hands and feet. Enchondromas are the most common bone tumors of the hands and feet and usually are painless. The tumor can involve large portions of the bones, causing thinning of the cortex.
What are the symptoms of enchondroma?
What are the symptoms of an enchondroma?
- Hand pain, if the tumor is very large or if the affected bone has weakened and caused a hand fracture.
- Enlargement of the affected finger.
- Slow bone growth in the affected area.
How fast does an enchondroma grow?
Three out of 55 (5.45%) of long bone enchondromas exhibited growth at a median of 23 (range 21 to 25) months follow-up. The first growing lesion was discovered incidentally in a 48 year-old healthy male and was located in his distal femur.
What is the difference between enchondroma and osteochondroma?
Osteochondromas most commonly occur in the hands and feet, and enchondromas typically involve the iliac crests and metaphyses of long bones.
Can enchondroma disappear?
An unusual feature of the syndrome is the tendency for the tumors to regress and actually disappear in adulthood (87–89). The enchondromas are found in the metaphyses of long bones and in the iliac crest, which is an unusual location for the tumors in enchondromatosis and Maffucci syndrome (Figure 159-4).
Can enchondromas grow?
In general, after skeletal maturity, enchondromas do not grow and rarely cause pain. Endosteal scalloping may occur with enchondromas.
Do enchondromas enhance on MRI?
Enchondromas with a size exceeding 5 cm2 on radiography as well as cortical destruction and soft tissue mass are suggestive of malignancy and may indicate supplementary MRI, if it has therapeutic consequences (B). Patients with such changes should be referred to a sarcoma center.
Is Chondroma the same as enchondroma?
Chondroma is a lesion of mature hyaline cartilage that may be located centrally within the bone (enchondroma) or may arise either in or beneath the periosteum (periosteal or cortical chondroma, respectively). Intraarticular and soft tissue variants are even more unusual, but they do exist.
Are enchondromas hereditary?
Spondyloenchondrodysplasia (SPENCD, enchondromatosis Spranger type IV) is an autosomal recessive inherited disorder caused by mutations in the ACP5 gene. It is characterized by vertebral dysplasia combined with enchondroma like lesions in the pelvis or long tubular bones.
What is enchondroma of the bone?
Enchondroma (en-kon-DRO-ma) is a type of benign (noncancerous) tumor that begins in the cartilage found inside the bones. Enchondromas rarely cause pain or other symptoms, so most remain undiagnosed until x-rays are taken for an unrelated injury or condition.
What is the treatment for enchondroma of the foot?
Curettage and bone grafting is usually adequate. Enchondroma may be highly expansile, especially in small bones such as the phalanges, so that the bone may be completely involved, deformed, and even destroyed. This is not considered a sign of malignancy in enchondromas of the foot or hand.
What are the symptoms of enchondromas?
In most cases, enchondromas are not painful and do not cause any symptoms. However, if the tumors appear in the hands or feet, or if there are multiple lesions, the bone can weaken and become deformed. This can lead to pathologic bone fractures and enlargement of the affected fingers.
How common are enchondromas?
Enchondromas can occur in anyone but are most common in patients between 10 and 20 years old. They are most often found in the small bones of the hand. In fact, enchondroma is the most common tumor in the hand.