A Rare Case of Lumbar Chondroma and Review of Literature in This Topic
Abstract
Enchondroma is a kind of bone hamartoma and a benign hyaline cartilage tumor. Although it is the most common benign tumor of bone, it is quite rare in the spine, especially the lumbar spine. We report a case of chondroma that was located in the lumbar spine, which extended from L2 to L5 in a 4.5-year-old child. He visited our clinic with a complaint of spine deformity and limping for 3 years. Surgical resection of large ossified mass was performed and pathologically confirmed to be a benign hamartoma of hyaline cartilage with enchondral ossification. Resection of mass released the tethering effect and balanced the growth speed of spine bilaterally. It is suggestive of a congenital developmental malformation with hamartomatous features and reactive changes.
[2] Kim DH, Nam KH, Choi BK, Han I. Lumbar spinal chondroma presenting with acute sciatca. Korean Journal of Spine. 2013; 10(4):252-4. [DOI:10.14245/kjs.2013.10.4.252] [PMID] [PMCID]
[3] Lozes G, Fawaz A, Perper H, Devos P, Benoit P, Krivosic I, et al. Chondroma of the cervical spine: Case report. Journal of Neurosurgery. 1987; 66(1):128-30. [DOI:10.3171/jns.1987.66.1.0128] [PMID]
[4] Antć B, Roganović Z, Tadić R, Ilić S. Chondroma of the cervical spinal canal. Case report. Journal of Neurosurgical Sciences. 1992; 36(4):239-41. [PMID]
[5] Damron TA, Sim FH, Unni KK. Multcentric chondrosarcomas. Clinical Orthopaedics and Related Research. 1996; (328):211-9. [PMID]
[6] Boriani S, Laus M. Chondromas and chondromatosis (A study of 265 cases, 200 with long term follow up). Italian Journal of Orthopaedics and Traumatology. 1978; 4(3):353-7. [PMID]
[7] Liu J, Hudkins PG, Swee RG, Unni KK. Bone sarcomas associated with Ollier’s disease. Cancer. 1987; 59(7):1376-85. [DOI:10.1002/1097- 0142(19870401)59:73.0.CO;2-F]
[8] Greenspan A. Tumors of cartlage origin. Orthopedic clinics of North America. 1989; 20(3):347-66. [PMID]
[9] Fahim DK, Johnson KK, Whitehead WE, Curry DJ, Luerssen TG, Jea A. Periosteal chondroma of the pediatric cervical spine: Case report. Journal of Neurosurgery: Pediatrics. 2009; 3(2):151-6. [DOI:10.3171/2008.11.PEDS08231] [PMID]
[10] Douis H, Saifuddin A. The imaging of cartlaginous bone tumours. II. Chondrosarcoma. Skeletal Radiology. 2013; 42(5):611-26. [DOI:10.1007/s00256-012-1521-3] [PMID]
[11] Kondrom LS. Lumbar spinal chondroma presentng with radiculopathy: Case report. Turkish Neurosurgery. 2008; 18(4):397-9. [PMID]
[12] Slowik T, Bitner-Manioka M, Grochowski W. Chondroma of the cervical spine: Case report. Journal of Neurosurgery. 1968; 29(3):276-9. [DOI:10.3171/jns.1968.29.3.0276] [PMID]
[13] Willis BK, Heilbrun MP. Enchondroma of the cervical spine. Neurosurgery. 1986; 19(3):437-40. [DOI:10.1227/00006123-198609000- 00017] [PMID]
[14] McLoughlin GS, Sciubba DM, Wolinsky JP. Chondroma/chondrosarcoma of the spine. Neurosurgery Clinics of North America. 2008; 19(1):57-63. [DOI:10.1016/j.nec.2007.09.007] [PMID]
[15] Singh AP, Singh AP, Mahajan S. Periosteal chondroma of the sacrum. Canadian Journal of Surgery. 2008; 51(5):E105 6. [PMID].
[16] Walden MJ, Murphey MD, Vidal JA. Incidental enchondromas ofthe knee. American Journal of Roentgenology. 2008; 190(6):1611-5.[DOI:10.2214/AJR.07.2796]
[17] Murphey MD, Flemming DJ, Boyea SR, Bojescul JA, Sweet DE,Temple HT. Enchondroma versus chondrosarcoma in the appendicular skeleton: Differentatng features. Radiographics1998;18(5):1213-37[DOI:10.1148/radiographics.18.5.9747616] [PMID]
[18] Aoki J, Sone S, Fujioka F, Terayama K, Ishii K, Karakida O, et al. MR of enchondroma and chondrosarcoma: Rings and arcs of Gd-DTPA enhancement. Journal of Computer Assisted Tomography. 1991;15(6):1011-6. DOI:10.1097/00004728-199111000-00021] [PMID]
[19] Russo V, Platania N, Graziano F, Albanese V. Cervical spine chondroma arising from C5 right hemilamina: A rare cause of spinal cord compression. Case report and review of the literature. Journal of Neurosurgical Sciences. 2010; 54(3):113-7. [PMID]
[20] Ogata T, Miyazaki T, Morino T, Nose M, Yamamoto H. A periosteal chondroma in the lumbar spinal canal: Case report. Journal of Neurosurgery: Spine. 2007; 7(4):454-8. [DOI:10.3171/SPI-07/10/454] [PMID]
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Issue | Vol 3 No 4 (2018): Autumn | |
Section | Case Report(s) | |
Keywords | ||
Spine Lumbar vertebrae Enchondroma Scoliosis |
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