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Case Reports
. 2021 Jun 9;9(6):e04352.
doi: 10.1002/ccr3.4352. eCollection 2021 Jun.

Multifocal chondrosarcoma of the hand: Case report and review of the literature

Hunter B Jones  1 , Jacob Murphree  1 , Joash R Suryavanshi  1 , Bradley O Osemwengie  1 , Sterling Rosqvist  1 , Cameron T Cox  1 , Brendan J MacKay  1   2
Affiliations
Case Reports

Multifocal chondrosarcoma of the hand: Case report and review of the literature

Hunter B Jones et al. Clin Case Rep. .

Abstract

Few multifocal hand chondrosarcomas have been reported. To our knowledge, this report is the first to describe multifocal hand chondrosarcoma in a patient with no evidence of prior enchondroma, Ollier's disease, or Maffucci syndrome.

Keywords: chondrosarcoma; hand malignancy; multifocal tumor; reconstructive hand surgery.

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Conflict of interest statement

Though they are not directly funding this case report, the authors would like to disclose the following support for BM: Paid teaching for TriMed. Paid teaching and consulting, as well as research support from AxoGen. Paid consulting for Baxter/Synovis and GLG. The remaining authors have nothing to disclose.

Figures

FIGURE 1
FIGURE 1
Original MRI showing an enhancing lesion with distinct areas of T2 hyperintensity and T1 hypointensity (B, C: arrows) separated by regions of T1 hyperintensity. MRI showing a T2 hyperintense and T1 hypointense (G‐I: arrows) lesion measuring 0.5 x 0.6 x 0.9 cm on the ulnar base of the 5th proximal phalanx
FIGURE 2
FIGURE 2
Preoperative radiographs showing abnormality in the small finger
FIGURE 3
FIGURE 3
Bone scan showing focal areas (arrows) in the in the 5th digit and in the wrist
FIGURE 4
FIGURE 4
MRI showing T1 hypointense and T2 hyperintense (arrows) 6‐mm lesion in the hook of the hamate, as well as a 3‐mm body in the ulnar body of the hamate and a 4‐mm lesion in the ulnar base of the proximal metacarpal (arrows)
FIGURE 5
FIGURE 5
Intraoperative radiographs following removal of percutaneous pins and manipulation for improved range of motion
FIGURE 6
FIGURE 6
14‐month postoperative MRI (without contrast) showing (A) T1 and (B) T2 images of the left hand
FIGURE 7
FIGURE 7
Intraoperative radiographs taken 20 months after the initial resection procedure
FIGURE 8
FIGURE 8
Fluoroscopic images taken 21 months after the initial resection procedure
FIGURE 9
FIGURE 9
Radiographs taken 28 months after initial resection procedure
See this image and copyright information in PMC

References

    1. Athanasian E. Bone and Soft Tissue Tumors, Green’s Operative Hand Surgery. Philadelphia, Pennsylvania: Elsevier Churchill Livingstone; 2005.
    1. O'Connor MI, Bancroft LW. Benign and malignant cartilage tumors of the hand. Hand Clin. 2004;20(3):317‐323, vi. - PubMed
    1. Sridhar H, Vijaya M, Clement W, Srinivas C. Chondrosarcoma arising in an enchondroma of the metacarpal bone ‐ a case report. J Clin Diagn Res. 2014;8(3):142‐143. - PMC - PubMed
    1. Ollivier L, Vanel D, Leclere J. Imaging of chondrosarcomas. Cancer Imaging. 2003;4(1):36‐38. - PMC - PubMed
    1. Devaney K. Dahlin's Bone Tumors. General Aspects and Data on 11,087 Cases. Am J Surg Pathol. 1996;20(10):1298‐.

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