Top

Published in:

01-10-2012 | Case Report

Malignant degeneration of a lumbar osteochondroma into a chondrosarcoma which mimicked a large retropertioneal mass

Authors: Evgeny Strovski, Rola Ali, Douglas A. Graeb, Peter L. Munk, Silvia D. Chang

Published in: Skeletal Radiology | Issue 10/2012

Abstract

We report a case of a lumbar spinal osteochondroma that transformed into a large chondrosarcoma in a 39-year-old male who presented with an abdominal mass and back pain. This mass was also associated with a fracture of the stalk, which on cross-sectional imaging mimicked a mass of retroperitoneal origin. The diagnosis of chondrosarcoma transforming from a lumbar osteochondroma became apparent when comparison was made with previous studies.

Albrecht S, Crutchfield JS, SeGall GK. On spinal osteochondromas. J Neurosurg. 1992;77:247–52.PubMedCrossRef

Kim WJ, Kim KJ, Lee SK, Choy W. Solitary pelvic osteochondroma causing L-5 nerve root compression. Orthopedics. 2009;32(12):922–4.PubMedCrossRef

Fiumara E, Scarabino T, Guglielmi G, Bisceglia M, D’Angelo V. Osteochondroma of L-5 vertebra: a rare cause of sciatic pain. J Neurosurg Spine. 1999;91:219–22.CrossRef

Murphey MD, Choi JJ, Kransdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants and complications with radiologic–pathologic correlation. RadioGraphics. 2000;20:1407–34.PubMed

Davids JR, Glancy GL, Eilert RE. Fracture through the stalk of pedunculated osteochondromas. A report of three cases. Clin Orthop Relat Res. 1991;271:258–64.PubMed

Karasick DK, Schweitzer ME, Eschelman DJ. Symptomatic osteochondromas: imaging features. AJR Am J Roentgenol. 1997;168:1507–12.PubMed

Prakash U, Court-Brown CM. Fracture through an osteochondroma. Injury. 1996;27:357–8.PubMedCrossRef

Tubbs RS, Maddox GE, Grabb PA, Oakes WJ, Cohen-Gadol AA. Cervical osteochondroma with postoperative recurrence: case report and review of the literature. Childs Nerv Syst. 2010;26:101–4.PubMedCrossRef

Xu J, Xu CR, Wu H, Pan HL, Tian J. Osteochondroma of the lumbar intraspinal canal causing nerve root compression. Orthopedics. 2009;32(2):133–6.PubMed

10.

Zuntini M, Pedrini E, Parra A, Sgariglia F, Gentile FV, Pandolfi M, et al. Genetic models of osteochondroma onset and neoplastic progression: evidence for mechanisms alternative to EXT genes inactivation. Oncogene. 2010;29(26):3827–34.PubMedCrossRef

11.

Katonis P, Alpantaki K, Michail K, Lianoudakis S, Christoforakis Z, Tzanakakis G, et al. Spinal chondrosarcoma: a review. Sarcoma. 2011;2011:378957.PubMedCrossRef

12.

Bess RS, Robbin MR, Bohlman HH, Thompson GH. Analysis of twelve cases and review of the literature. Spine. 2005;30(7):774–80.PubMedCrossRef

13.

Yildirim C, Rodop O, Kuşkucu M, Sahin O, Gamsizkan M. Giant solitary osteochondroma arising from the fifth metatarsal bone: a case report. J Foot Ankle Surg. 2010;49(3):298.e9–298.e15.CrossRef

14.

Erlemann R. Imaging and differential diagnosis of primary bone tumors and tumor-like lesions of the spine. Eur J Radiol. 2006;58:48–67.PubMedCrossRef

15.

Geirnaerdt MJA, Hogendoorn PCW, Bloem JL, Taminiau AHM, Van Der Woude HJ. Cartilaginous tumors: fast contrast-enhanced MR imaging. Radiology. 2000;214:539–46.PubMed

16.

Porter DE, Emerton ME, Villanueva-Lopez F, Simpson AH. Clinical and radiographic analysis of osteochondromas and growth disturbance in hereditary multiple exostoses. J Pediatr Orthop. 2000;20(2):246–50.PubMedCrossRef

Title: Malignant degeneration of a lumbar osteochondroma into a chondrosarcoma which mimicked a large retropertioneal mass
Authors: Evgeny Strovski
Rola Ali
Douglas A. Graeb
Peter L. Munk
Silvia D. Chang
Publication date: 01-10-2012
Publisher: Springer-Verlag
Published in: Skeletal Radiology / Issue 10/2012
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI: https://doi.org/10.1007/s00256-012-1405-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Malignant degeneration of a lumbar osteochondroma into a chondrosarcoma which mimicked a large retropertioneal mass

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 10/2012

Multimodality correlations of patellar height measurement on X-ray, CT, and MRI

Calculating anterior glenoid bone loss using the Bernageau profile view

Introduction of an alternative standardized radiographic measurement method to evaluate volar angulation in subcapital fractures of the 5th metacarpal

Fibrolipomatous hamartoma of the inferior calcaneal nerve (Baxter nerve)

Imaging features of low-grade fibromyxoid sarcoma (Evans tumor)

Browser’s notes