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Tzoumpa S, Nuñez J, Postigo-Mac Dowall M, Lopez-Ilasaca M, Bejar C. Multiple enchondromas and hobnail hemangiomas revealing a rare type of Maffucci syndrome. Int J Dermatol 2024. [PMID: 38647156 DOI: 10.1111/ijd.17203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/01/2024] [Accepted: 04/04/2024] [Indexed: 04/25/2024]
Affiliation(s)
- Sofia Tzoumpa
- Department of Dermatology, Avicenne University Hospital, AP-HP, Sorbonne-Paris-Nord University, Bobigny, France
| | - Jeanette Nuñez
- Department of Dermatology, Goyeneche Hospital, Arequipa, Peru
| | | | - Marco Lopez-Ilasaca
- Center for Molecular Diagnostics, Lima, Peru
- Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA
| | - Claudia Bejar
- Department of Dermatology, Avicenne University Hospital, AP-HP, Sorbonne-Paris-Nord University, Bobigny, France
- Department of Dermatology, Goyeneche Hospital, Arequipa, Peru
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Fadili O, El Khaymy K, Bouzid Y, El Adaoui O, El Andaloussi Y, Fadili M. Disastrous evolution of ollier disease: a rare case report. Ann Med Surg (Lond) 2023; 85:2985-2989. [PMID: 37363592 PMCID: PMC10289570 DOI: 10.1097/ms9.0000000000000678] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2023] [Accepted: 04/02/2023] [Indexed: 06/28/2023] Open
Abstract
Ollier disease is a rare genetic disorder characterized by the development of multiple enchondromas. The clinical manifestations of the disease vary widely, but patients often present with bone deformities and an increased risk of developing chondrosarcoma. Here, the authors present a case report of a 25-year-old male patient with a devastating and historic evolution of Ollier disease. Case presentation At the age of 10, the patient developed a sub-centimeter mass in the first phalanx of the left middle finger, which subsequently grew in size. A biopsy was performed at the age of 14, which confirmed the diagnosis of chondroma. At the age of 14, the patient developed multiple large masses on the left hand, resulting in the amputation of his left hand. At 25 years old, the patient developed new masses in his contralateral hand and left foot. Discussion Ollier disease is caused by somatic mutations in the PTH/PTHrP receptor gene, leading to the formation of multiple enchondromas. Patients with Ollier disease are at an increased risk of developing chondrosarcoma, which can be life-threatening. The diagnosis of Ollier disease is usually made based on clinical and radiographic findings, and genetic testing can confirm the diagnosis. Treatment is typically focused on managing the symptoms and preventing the development of chondrosarcoma. Conclusion The authors presented a case report of a patient with a devastating and historic evolution of Ollier disease. This case highlights the importance of early diagnosis and management of this disease to prevent the development of chondrosarcoma and minimize the risk of complications. Further research is needed to better understand the underlying mechanisms of the disease and develop effective treatments.
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Affiliation(s)
- Omar Fadili
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
| | - Khalid El Khaymy
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
| | - Youssef Bouzid
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
| | - Oussama El Adaoui
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
| | - Yassir El Andaloussi
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
| | - Mustapha Fadili
- Department of Trauma Surgery and Orthopedics, Ibn Rochd University Hospital Center, Casablanca
- Faculty of Medicine and Pharmacy of Casablanca, Hassan II University, Morocco
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Corvino S, Mariniello G, Corazzelli G, Franca RA, Del Basso De Caro M, Della Monica R, Chiariotti L, Maiuri F. Brain Gliomas and Ollier Disease: Molecular Findings as Predictive Risk Factors? Cancers (Basel) 2022; 14:cancers14143464. [PMID: 35884525 PMCID: PMC9324397 DOI: 10.3390/cancers14143464] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2022] [Revised: 07/12/2022] [Accepted: 07/14/2022] [Indexed: 01/27/2023] Open
Abstract
Background: Ollier disease (OD) is a rare nonhereditary type of dyschondroplasia characterized by multiple enchondromas, with typical onset in the first decade of life. Surgery is the only curative treatment for primary disease and its complications. Patients with OD are at risk of malignant transformation of enchondromas and of occurrence of other neoplasms. Methods: A wide literature review disclosed thirty cases of glioma associated with OD, most of them belonging to the pre-molecular era. Our own case was also included. Demographic, clinical, pathologic, molecular, management, and outcome data were analyzed and compared to those of sporadic gliomas. Results: Gliomas associated with OD more frequently occur at younger age, present higher rates of multicentric lesions (49%), brainstem localizations (29%), and significantly lower rates of glioblastomas (7%) histotype. The IDH1 R132H mutation was detected in 80% of gliomas of OD patients and simultaneously in enchondromas and gliomas in 100% of cases. Conclusions: The molecular data suggest a higher risk of occurrence of glioma in patients with enchondromas harboring the IDH1 R132H mutation than those with the IDH1 R132C mutation. Thus, we suggest considering the IDH1 R132H mutation in enchondromas of patients with OD as a predictive risk factor of occurrence of glioma.
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Affiliation(s)
- Sergio Corvino
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (G.M.); (G.C.); (F.M.)
- Correspondence: ; Tel.: +39-3927524046
| | - Giuseppe Mariniello
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (G.M.); (G.C.); (F.M.)
| | - Giuseppe Corazzelli
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (G.M.); (G.C.); (F.M.)
| | - Raduan Ahmed Franca
- Department of Advanced Biomedical Sciences, Section of Pathology, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (R.A.F.); (M.D.B.D.C.)
| | - Marialaura Del Basso De Caro
- Department of Advanced Biomedical Sciences, Section of Pathology, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (R.A.F.); (M.D.B.D.C.)
| | - Rosa Della Monica
- Department of Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (R.D.M.); (L.C.)
| | - Lorenzo Chiariotti
- Department of Molecular Medicine and Medical Biotechnology, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (R.D.M.); (L.C.)
| | - Francesco Maiuri
- Department of Neurosciences, Reproductive and Odontostomatological Sciences, Neurosurgical Clinic, School of Medicine, University of Naples “Federico II”, 80131 Naples, Italy; (G.M.); (G.C.); (F.M.)
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Huser AJ, Hoellwarth JS, Coppa V, Feldman DS, Paley D. Lengthening the Lower Extremities of Children with Ollier's and Maffucci's Enchondromatosis Using Implantable Lengthening Nails. Children (Basel) 2021; 8:502. [PMID: 34198529 DOI: 10.3390/children8060502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/16/2021] [Revised: 06/09/2021] [Accepted: 06/10/2021] [Indexed: 11/17/2022]
Abstract
There are multiple forms of enchondromatosis with Ollier's and Maffucci's being the most prevalent types. Limb length discrepancy is a common problem in patients with Ollier's and Maffucci's enchondromatosis. There are multiple reports about lengthening bones in patients with enchondromatosis using external fixators. However, there are no case series regarding the use of implantable lengthening technology. The purpose of this paper is to describe our experience with implantable nail lengthening in patients with enchondromatosis. A retrospective chart and radiographic review of patients with enchondromatosis who underwent implantable nail limb lengthening was performed. Seven patients with 14 bony segments were reviewed. A total of 11/14 lengthenings were completed without difficulty. There were no issues in terms of fixation location in patients with Ollier's disease. One patient with Maffucci's syndrome experienced migration of the nail during two lengthenings due to a combination of intralesional fixation and preconsolidation. One patient with Ollier's disease developed a knee extension contracture requiring manipulation under anesthesia. No other complications were recorded. The use of implantable nail lengthening to resolve limb length discrepancies in patients with Ollier's disease appears to be safe and effective.
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Abstract
In this study, we report a four-year-old male with D-2-hydroxyglutaric aciduria (D2HA) and enchondromatosis with a prior history of hyperpigmented, segmental whorls and streaks on his abdomen who later presented with an eruption of angiokeratoma circumscriptum within a similar distribution. His condition can likely be explained by underlying somatic mosaicism; however, a unifying culprit gene mutation has not yet been identified. To date, only 10 reported cases of D2HA with enchondromatosis are available in the literature with three reported skin findings. This is the first reported case of angiokeratoma circumscriptum associated with the rare condition of D2HA and enchondromatosis.
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Affiliation(s)
- Allie Preston
- Internal Medicine, Baylor University Medical Center, Dallas, USA
| | - Kara Reardon
- Dermatology, Oklahoma University Health Sciences Center, Oklahoma City, USA
| | - Neil Crowson
- Dermatopathology, Regional Medical Laboratory, Tulsa, USA
| | - Walter Lamar
- Dermatopathology, Regional Medical Laboratory, Tulsa, USA
| | - Jason M Hirshburg
- Dermatology, Oklahoma University Health Sciences Center, Oklahoma City, USA
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Boer LL, Boek PLJ, van Dam AJ, Oostra RJ. History and highlights of the teratological collection in the Museum Anatomicum of Leiden University, The Netherlands. Am J Med Genet A 2018; 176:618-637. [PMID: 29399953 PMCID: PMC5838553 DOI: 10.1002/ajmg.a.38617] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2017] [Revised: 12/04/2017] [Accepted: 01/02/2018] [Indexed: 12/31/2022]
Abstract
The anatomical collection of the Anatomical Museum of Leiden University Medical Center (historically referred to as Museum Anatomicum Academiae Lugduno-Batavae) houses and maintains more than 13,000 unique anatomical, pathological and zoological specimens, and include the oldest teratological specimens of The Netherlands. Throughout four centuries hundreds of teratological specimens were acquired by more than a dozen collectors. Due to the rich history of this vast collection, teratological specimens can be investigated in a unique retrospective sight going back almost four centuries. The entire 19th century collection was described in full detail by Eduard Sandifort (1742-1814) and his son Gerard Sandifort (1779-1848). Efforts were made to re-describe, re-diagnose and re-categorize all present human teratological specimens, and to match them with historical descriptions. In the extant collection a total of 642 human teratological specimens were identified, including exceptional conditions such as faciocranioschisis and conjoined twins discordant for cyclopia, and sirenomelia. Both father and son Sandifort differed in their opinion regarding the causative explanation of congenital anomalies. Whereas, their contemporaries Wouter Van Doeveren (1730-1783) and Andreas Bonn (1738-1817) both presented an interesting view on how congenital anomalies were perceived and explained during the 18th and 19th centuries; the golden age of descriptive teratology. Although this enormous collection is almost 400 years old, it still impresses scientists, (bio)medical students, and laymen visiting and exploring the collections of the Museum Anatomicum in Leiden, The Netherlands.
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Affiliation(s)
- Lucas L Boer
- Department of Anatomy and Museum for Anatomy and Pathology, Radboud University Medical Centre, Nijmegen, The Netherlands
| | - Peter L J Boek
- Department of Anatomy, Embryology and Physiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Andries J van Dam
- Directorate of Education, Anatomical Museum, Leiden University Medical Center, Leiden, The Netherlands
| | - Roelof-Jan Oostra
- Department of Anatomy, Embryology and Physiology, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
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Burgetova A, Matejovsky Z, Zikan M, Slama J, Dundr P, Skapa P, Benkova K, Cibula D, Fischerova D. The association of enchondromatosis with malignant transformed chondrosarcoma and ovarian juvenile granulosa cell tumor (Ollier disease). Taiwan J Obstet Gynecol 2017; 56:253-257. [PMID: 28420520 DOI: 10.1016/j.tjog.2017.02.002] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/28/2016] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE Ovarian juvenile granulosa cell tumor has an interesting association with multiple enchondromatosis (Ollier disease and Maffucci syndrome) and should be considered a leading diagnosis when an ovarian mass is found in young patients with these conditions. Besides the association with nonskeletal malignancies, there is a high risk of malignant transformation of enchondroma in chondrosarcoma as was also the case in this instance. CASE REPORT The report uses multiple images to document the representative and characteristic markers of multiple enchondromas in a 22-year-old patient with Ollier disease complicated by malignant transformation of chondrosarcoma and in whom the disease is associated with ovarian juvenile granulosa cell tumor of the right ovary. CONCLUSION It is important to recognize that when the female patient presents with enchondromatosis and a large unilateral multilocular-solid ovarian mass, the specific diagnosis of granulosa cell tumor can be made with high accuracy.
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Affiliation(s)
- Andrea Burgetova
- Department of Radiology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic
| | - Zdenek Matejovsky
- Orthopedic Clinic, Bulovka Hospital, First Faculty of Medicine, Charles University, Czech Republic
| | - Michal Zikan
- Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic
| | - Jiri Slama
- Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic
| | - Pavel Dundr
- Department of Pathology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic
| | - Petr Skapa
- Department of Pathology, Second Faculty of Medicine, Charles University, Czech Republic
| | - Kamila Benkova
- Department of Pathology, Bulovka Hospital, First Faculty of Medicine, Charles University, Czech Republic
| | - David Cibula
- Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic
| | - Daniela Fischerova
- Gynecologic Oncology Center, Department of Obstetrics and Gynecology, First Faculty of Medicine, Charles University and General University Hospital in Prague, Czech Republic.
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Boer L, Radziun AB, Oostra R. Frederik Ruysch (1638-1731): Historical perspective and contemporary analysis of his teratological legacy. Am J Med Genet A 2017; 173:16-41. [PMID: 27126916 PMCID: PMC5215407 DOI: 10.1002/ajmg.a.37663] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2016] [Accepted: 03/28/2016] [Indexed: 11/07/2022]
Abstract
The Peter the Great Museum of Anthropology and Ethnography (Kunstkamera) in Saint Petersburg is the oldest museum in Russia. It keeps the remains of the anatomical collection of the world-famous 17th century Dutch anatomist Frederik Ruysch. This unique collection was bought and shipped in 1717 by Czar Peter the Great, and presently still comprises more than 900 specimens, a modest number of which concerns specimens with congenital anomalies. We searched for teratological clues in the existing collection and in all his descriptions and correspondence regarding specimens and cases he encountered during his career as doctor anatomiae and chief instructor of the surgeons and midwives in Amsterdam. A total of 63 teratological specimens and case descriptions were identified in this legacy, including some exceedingly rare anomalies. As it turns out, Ruysch was the first to describe several of the conditions we encountered, including intracranial teratoma, enchondromatosis, and Majewski syndrome. Although his comments pose an interesting view on how congenital anomalies were scientifically perceived in early 18th century Europe, Ruysch mostly refrained from explaining the causes of the conditions he encountered. Instead, he dedicated himself to careful descriptions of his specimens. Almost 300 years after his demise, Ruysch's legacy still impresses and inspires both scientists and lay men. © 2016 The Authors. American Journal of Medical Genetics Part A Published by Wiley Periodicals, Inc.
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Affiliation(s)
- Lucas Boer
- Department of Anatomy and Museum for Anatomy and PathologyRadboud University Medical CentreNijmegenThe Netherlands
| | - Anna B. Radziun
- Peter the Great Museum of Anthropology and EthnographyRussian Academy of SciencesSaint PetersburgRussia
| | - Roelof‐Jan Oostra
- Department of AnatomyEmbryology and PhysiologyAcademic Medical CenterUniversity of AmsterdamAmsterdamThe Netherlands
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Lu H, Chen Q, Shen H, Shen XQ, Wu SC, Lin XJ. Three different methods for treating multiple enchondromatosis in one hand. Int J Clin Exp Med 2015; 8:13417-13420. [PMID: 26550277 PMCID: PMC4612962] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2015] [Accepted: 08/02/2015] [Indexed: 06/05/2023]
Abstract
Ollier's disease remains comparatively rare, and is a non-hereditary cartilage dysplasia of bone. It is usually associated with problems such as deformity and fracture. Three different methods were used in a one-hand of 15-year-old boy reporting his pain in the left hand and swellings. After the curettage of tumor, regarding as the differences of all parts of the bone structure reconstruction in the patient's hand, we chose three following methods for this boy, i.e. fixed by the locking plate with calcium phosphate cement, filled with allograft bone, curetted the tumor without any bone graft. After the surgery, the patient was able to perform full motion of the operated hand. No evidence of recurrence was noted four years after surgery. To choose the different ways with bone grafts or not that relies on the patients' conditions for bone structure reconstruction. However, patients with large osseous defects or pathological fracture, we demand full bone graft and reliable internal fixation. After surgery, early exercises can reach a desirable result and functional recovery.
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Affiliation(s)
- Hui Lu
- Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
| | - Qiang Chen
- Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
| | - Hui Shen
- Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
| | - Xiang-Qian Shen
- Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
| | - Shou-Cheng Wu
- Department of Hand Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
| | - Xiang-Jin Lin
- Department of Orthopedics, The First Affiliated Hospital, College of Medicine, Zhejiang University#79 Qingchun Road, Hangzhou 310003, Zhejiang Province, P. R. China
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Sareen A, D'souza MM, Reddy KB, Kanojia RK, Kumar A. Genochondromatosis type I: A clinicoradiological study of four family members. Am J Med Genet A 2015; 167A:2758-66. [PMID: 26174433 DOI: 10.1002/ajmg.a.37247] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Accepted: 06/24/2015] [Indexed: 11/12/2022]
Abstract
Genochondromatosis is an extremely rare autosomal dominant disorder, which manifests during childhood and tends to regress in adult life. The bony lesions are symmetrically distributed with characteristic localization at the metaphysis of proximal humerus and distal femur. Two types have been described based on the involvement of clavicle. Usually asymptomatic, sometimes patients may present with pathological fractures. In this communication, we describe four members of a family with Genochondromatosis type I, with some additional clinical and radiological findings not reported previously.
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Affiliation(s)
- Atul Sareen
- Lady Hardinge Medical College, New Delhi, India
| | - Maria M D'souza
- INMAS, Scientist "E" division of PET imaging, New Delhi, India
| | | | | | - Ajay Kumar
- Lady Hardinge Medical College and Associated Kalawati Saran Children Hospital, New Delhi, India
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Sutera R, Contiguglia A, Iovane A, Midiri M. A rare case of enchondromatosis of the knees and hands with involvement of Hoffa's fat pad and peri-articular soft-tissues. J Radiol Case Rep 2014; 7:22-30. [PMID: 24421940 DOI: 10.3941/jrcr.v7i6.1307] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
We report a case of a 56-year old man with chronic pain in both knees for several years. This patient had already undergone surgery on his left knee in 2002 after an x-ray showed multiple lytic and well margined lesions in the distal femur and proximal tibia with ground-glass matrix, involving Hoffa's fat pad and the patellar ligament. Histology was consistent with an enchondroma. The most recent MRI examination showed enchondromatosis involving both knees with bilateral extension into Hoffa's fat pad and the patellar ligament. Subsequently, we performed an additional radiographic examination of the hands and feet, as well as an MRI of both hands to identify other possible enchondromas in the most common sites for this disease. Enchondromatosis with soft tissue involvement is extremely rare, and involvement of Hoffa's fat pad has not been reported in the scientific literature. The clinical presentation of this case and the general aspects of Enchondromatosis are discussed.
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Affiliation(s)
| | | | - Angelo Iovane
- Department of Legal Sciences of Society and Sport, University of Palermo, Italy
| | - Massimo Midiri
- Department of Diagnostic Imaging, University of Palermo, Italy
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12
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Ryabykh SО, Gubin AV, Prudnikova ОG, Kobyzev АЕ. Treatment of combined spinal deformity in patient with ollier disease and abnormal vertebrae. Global Spine J 2013; 3:109-14. [PMID: 24436859 PMCID: PMC3854679 DOI: 10.1055/s-0032-1329891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2012] [Accepted: 08/15/2012] [Indexed: 10/27/2022] Open
Abstract
We report staged treatment of severe combined spinal deformity in an 11-year-old patient with Ollier disease and abnormal cervical vertebra. Combined scoliosis with systemic pathology and abnormal vertebrae is a rare condition and features atypical deformity location and rapid progression rate and frequently involves the rib cage and pelvis, disturbing the function of chest organs and skeleton. Progressive deformity resulted in cachexia and acute respiratory failure. A halo-pelvic distraction device assembled of Ilizarov components was employed for a staged surgical treatment performed for lifesaving indications. After vital functions stabilized, the scoliosis curve of the cervical spine was corrected and fixed with a hybrid system of transpedicular supporting points, connecting rods, and connectors that provided staged distraction during growth. The treatment showed good functional and cosmetic result.
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Affiliation(s)
- S. О. Ryabykh
- Russian Ilizarov Scientific Center, “Restorative Traumatology and Orthopaedics,” Kurgan, Russian Federation,Address for correspondence Sergei Olegovich Ryabykh, Cand. Sci. (Med.) Head of Laboratory for Axial Skeletal Pathology and Neurosurgery with the Russian Ilizarov Scientific Center“Restorative Traumatology and Orthopaedics,” Ministry of Health and Social Development of the Russian Federation, 6, ul. M. UlianovoyKurgan 640014, Russia
| | - A. V. Gubin
- Russian Ilizarov Scientific Center, “Restorative Traumatology and Orthopaedics,” Kurgan, Russian Federation
| | - О. G. Prudnikova
- Russian Ilizarov Scientific Center, “Restorative Traumatology and Orthopaedics,” Kurgan, Russian Federation
| | - А. Е. Kobyzev
- Russian Ilizarov Scientific Center, “Restorative Traumatology and Orthopaedics,” Kurgan, Russian Federation
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Gao H, Wang B, Zhang X, Liu F, Lu Y. Maffucci syndrome with unilateral limb: a case report and review of the literature. Chin J Cancer Res 2013; 25:254-8. [PMID: 23592908 DOI: 10.3978/j.issn.1000-9604.2013.03.05] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2012] [Accepted: 02/21/2013] [Indexed: 11/14/2022] Open
Abstract
Maffucci syndrome is a congenital, non-hereditary mesodermal dysplasia manifested by multiple enchondromas and hemangiomas. It is associated with diverse secondary musculoskeletal deformities, which is exceedingly rare. We report a case of hemangiomas and enchondromas localized in the unilateral limb in a patient with Maffucci syndrome. Treatment consists of orthopedic and surgical intervention to minimize deformities and for cosmetic purpose. Careful surveillance for malignant degeneration of both skeletal and non-skeletal tumors, especially in the brain and abdomen, is essential.
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Affiliation(s)
- Hua Gao
- Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
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Chiron P, Murgier J. Knee chondrosarcoma secondary to Ollier's disease: a report of one case with twelve-year follow-up. Orthop Rev (Pavia) 2012; 4:e16. [PMID: 22802984 PMCID: PMC3395985 DOI: 10.4081/or.2012.e16] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/24/2012] [Revised: 04/15/2012] [Accepted: 04/16/2012] [Indexed: 11/26/2022] Open
Abstract
Management of low-grade chondrosarcomas secondary to Ollier's disease is generally radical. We report here a case of conservative treatment of a knee tumor with reconstruction of the lower femoral extremity with a hinged total knee prosthesis, cemented and coupled with a massive femoral allograft, with a twelve-year follow-up.
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Affiliation(s)
- Philippe Chiron
- Service de Chirurgie Orthopédique, Toulouse-Rangueil University Hospital, Toulouse, France
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Pansuriya TC, Kroon HM, Bovée JVMG. Enchondromatosis: insights on the different subtypes. Int J Clin Exp Pathol 2010; 3:557-569. [PMID: 20661403 PMCID: PMC2907117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 05/31/2010] [Accepted: 06/18/2010] [Indexed: 05/29/2023]
Abstract
Enchondromatosis is a rare, heterogeneous skeletal disorder in which patients have multiple enchondromas. Enchondromas are benign hyaline cartilage forming tumors in the medulla of metaphyseal bone. The disorder manifests itself early in childhood without any significant gender bias. Enchondromatosis encompasses several different subtypes of which Ollier disease and Maffucci syndrome are most common, while the other subtypes (metachondromatosis, genochondromatosis, spondyloenchondrodysplasia, dysspondyloenchondromatosis and cheirospondyloenchondromatosis) are extremely rare. Most subtypes are non-hereditary, while some are autosomal dominant or recessive. The gene(s) causing the different enchondromatosis syndromes are largely unknown. They should be distinguished and adequately diagnosed, not only to guide therapeutic decisions and genetic counseling, but also with respect to research into their etiology. For a longtime enchondromas have been considered a developmental disorder caused by the failure of normal endochondral bone formation. With the identification of genetic abnormalities in enchondromas however, they were being thought of as neoplasms. Active hedgehog signaling is reported to be important for enchondroma development and PTH1R mutations have been identified in approximately 10% of Ollier patients. One can therefore speculate that the gene(s) causing the different enchondromatosis subtypes are involved in hedgehog/PTH1R growth plate signaling. Adequate distinction within future studies will shed light on whether these subtypes are different ends of a spectrum caused by a single gene, or that they represent truely different diseases. We therefore review the available clinical information for all enchondromatosis subtypes and discuss the little molecular data available hinting towards their cause.
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Affiliation(s)
- Twinkal C Pansuriya
- Department of Pathology, Leiden University Medical Center, Leiden, The Netherlands
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