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Published in: Skeletal Radiology 1/2006

01-01-2006 | Case Report

Periprosthetic soft tissue recurrence of chondroblastoma after attempted en bloc excision from the proximal humerus

Authors: G. W. Hammond, M. Gu, J. Tehranzadeh, B. H. Hoang

Published in: Skeletal Radiology | Issue 1/2006

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Abstract

A case of soft tissue recurrence of chondroblastoma after attempted en bloc excision and endoprosthetic replacement is described. This tumor in the proximal humerus recurred after initial curettage and was subsequently treated by attempted en bloc excision with positive microscopic margins. The patient then presented with a large soft tissue recurrence surrounding the endoprosthesis. This periprosthetic recurrence necessitated re-excision and revision of the endoprosthesis. Recurrence is not uncommon following curettage of chondroblastoma. However, less is known about soft tissue recurrence after en bloc resection of this tumor with positive margins. A subset of chondroblastoma may exist with more locally aggressive behavior.
Literature
1.
go back to reference Ewing J. Neoplastic diseases: a treatise on tumors. 3rd edn. Philadelphia: WB Saunders,1928:293. Ewing J. Neoplastic diseases: a treatise on tumors. 3rd edn. Philadelphia: WB Saunders,1928:293.
2.
go back to reference Codman EA. Epiphyseal chondromatous giant cell tumors of the upper end of the humerus. Surg Gynecol Obstet 1931; 52:543–548. Codman EA. Epiphyseal chondromatous giant cell tumors of the upper end of the humerus. Surg Gynecol Obstet 1931; 52:543–548.
3.
go back to reference Campanacci M. Bone and soft tissue tumors: clinical features, imaging, pathology, and treatment, 2nd edn. Berlin Heidelberg New York: Springer, 1999. Campanacci M. Bone and soft tissue tumors: clinical features, imaging, pathology, and treatment, 2nd edn. Berlin Heidelberg New York: Springer, 1999.
4.
5.
go back to reference Schajowicz F, Gallardo H. Epiphyseal chondroblastoma of bone. A clinico-pathological study of sixty-nine cases. J Bone Joint Surg Br 1970; 52:205–226.PubMed Schajowicz F, Gallardo H. Epiphyseal chondroblastoma of bone. A clinico-pathological study of sixty-nine cases. J Bone Joint Surg Br 1970; 52:205–226.PubMed
6.
go back to reference Springfield DS, et al. Chondroblastoma. A review of seventy cases. J Bone Joint Surg Am 1985; 67:748–755.PubMed Springfield DS, et al. Chondroblastoma. A review of seventy cases. J Bone Joint Surg Am 1985; 67:748–755.PubMed
7.
go back to reference Ramappa AJ, et al. Chondroblastoma of bone. J Bone Joint Surg Am 2000 82:1140–1145. Ramappa AJ, et al. Chondroblastoma of bone. J Bone Joint Surg Am 2000 82:1140–1145.
8.
go back to reference Huvos AG, Marcove RC. Chondroblastoma of bone. A critical review. Clin Orthop 1973; 95:300–312.PubMed Huvos AG, Marcove RC. Chondroblastoma of bone. A critical review. Clin Orthop 1973; 95:300–312.PubMed
9.
go back to reference de Silva MV, Reid R. Chondroblastoma: varied histologic appearance, potential diagnostic pitfalls, and clinicopathologic features associated with local recurrence. Ann Diagn Pathol 2003; 7:205–213.CrossRefPubMed de Silva MV, Reid R. Chondroblastoma: varied histologic appearance, potential diagnostic pitfalls, and clinicopathologic features associated with local recurrence. Ann Diagn Pathol 2003; 7:205–213.CrossRefPubMed
10.
go back to reference Bloem JL, Mulder JD. Chondroblastoma: a clinical and radiological study of 104 cases. Skeletal Radiol 1985; 14:1–9.CrossRefPubMed Bloem JL, Mulder JD. Chondroblastoma: a clinical and radiological study of 104 cases. Skeletal Radiol 1985; 14:1–9.CrossRefPubMed
11.
go back to reference Huvos AG, et al. Chondroblastoma of bone. A clinicopathologic and electron microscopic study. Cancer 1972; 29:760–771.PubMedCrossRef Huvos AG, et al. Chondroblastoma of bone. A clinicopathologic and electron microscopic study. Cancer 1972; 29:760–771.PubMedCrossRef
12.
go back to reference Kyriakos M, et al. Metastatic chondroblastoma. Report of a fatal case with a review of the literature on atypical, aggressive, and malignant chondroblastoma. Cancer 1985; 55:1770–1789.PubMedCrossRef Kyriakos M, et al. Metastatic chondroblastoma. Report of a fatal case with a review of the literature on atypical, aggressive, and malignant chondroblastoma. Cancer 1985; 55:1770–1789.PubMedCrossRef
13.
go back to reference Coleman SS. Benign chondroblastoma with recurrent soft-tissue and intra-articular lesions. J Bone Joint Surg Am 1966; 48:1554–1560.PubMed Coleman SS. Benign chondroblastoma with recurrent soft-tissue and intra-articular lesions. J Bone Joint Surg Am 1966; 48:1554–1560.PubMed
Metadata
Title
Periprosthetic soft tissue recurrence of chondroblastoma after attempted en bloc excision from the proximal humerus
Authors
G. W. Hammond
M. Gu
J. Tehranzadeh
B. H. Hoang
Publication date
01-01-2006
Publisher
Springer-Verlag
Published in
Skeletal Radiology / Issue 1/2006
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-005-0952-5

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Acknowledgement to Referees

December 2005