Koas: Shinta Septiarina

NIM: 10/296639/KU/13649
Kelompok 14203

Identitas pasien
No. RM : 01719810
Nama : Nn.UB
Jenis Kelamin
: Perempuan
Tanggal lahir :28/10/1997
Alamat : Arumsari Jl.Cireung RT 08 RW
07 , Cilacap.
Tgl pendaftaran : 26-02-2015 (pkl 13:10)
Tgl hasil
: 27-02-2015 (pkl 10:02)
Ket.Klinis
: Susp.Osteosarcoma distal
forearm Dextra.

GAMBAran radiologis
Nn. UB
28/10/1997
27/2/2015

Nn. UB
28/10/1997
27/2/2015

Uraian hasil pemeriksaan

Foto manus dextra proyeksi AP, oblique,
kondisi cukup
Hasil :
Tampak opasitas inhomogen di soft Tissue
paradiafisis Os Ulna parsdistal, dengan
kalsifikasi, periosteal reaction(+).
Tak Tampak discontinuitas tulang
Tak tampak osteofit maupun subchondral
sklerotik.
Joint space tak menyempit maupun
melebar.

Kesan
Periosteal Enchondroma Os Ulnaris
Dextra.

PERIOSTEAL CHONDROMA
Introduction and Definition:

Juxtacortical chondroma (synonym: periosteal

chondroma) is a rare benign surface lesion
composed of cartilage. It is similar in
appearance and location to periosteal
osteosarcoma.1 Other definition are rare
benign chondral tumours that arise from
the periostiumof tubular bones. 2
The potential for confusion with periosteal
and even parosteal osteosarcoma
mandates a thorough investigation and
biopsy of these lesions.1

 Incidence and Demographics:1

- Age range is 1 to 73 years, with peak age at
diagnosis in the 2nd or 3rd decade1, or
2ndto 4thdecades.2
- Males are affected 2:1 over females. 1,2
- Symptoms are present for 1 to 5 years. 1
- Common sites include the proximal
humerus, proximal and distal femur, and the
phalages of the hand and foot.1,2
Symptoms and Presentation:1
Symptoms are present for 1 to 5 years.
Patients complain of a tender swelling or

Summary1
Periosteal chondroma is a benign cartilage tumor

that occurs on the surface of the bones, under the

periosteum.
This tumor may occur in both children and adults.
Patients complain of a tender swelling or mass.
A lesion on the surface of the bone with cartilage
matrix, which may "ring and arc" or "popcorn"
calcification pattern. The tumor causes the
underlying bone to become sclerotic, and there
may be a "dished" area under the tumor, and a
"buttress" or peripheral wall of reactive bone at
the edge of the tumor. The cortex may be
abnormal or locally thinned adjacent to the tumor.
Simple excision of this tumor usually results in a
cure
http://www.bonetumor.org/tumors-cartilage/periostealchondroma

Radiographic features
- Plain film
may be seen as asaucerisationof the
adjacent bony cortex with a sclerotic
periosteal reaction
distinct soft tissue mass may bedifficult
to identify
matrix calcification may be seen is ~50%
of cases; as with all chondroid lesions this
tends to bering and arc
most lesions are < 3 cm in size1

Differential diagnosis
Imaging differential considerations
include
periosteal osteosarcoma:
lobulatedmargins and highT2 chondral
nodules in periosteal chondroma are
absent
juxtacortical chondrosarcoma:often
larger than 3 cm
bizarre pariosteal osteochondromatous pr
oliferation
(Nora lesion):for phalalngeal lesions
cortical desmoid:for the posteromedial
distalfemoral lesions
http://radiopaedia.org/articles/juxta-cortical-chondroma

osteosarcoma
Periosteal osteosarcomais a form of surface

osteosarcoma.
Epidemiology
It is the second most common type of juxtacortical or
surface osteosarcoma after parosteal osteosarcoma
accounts for 1.5% of all osteosarcoma cases. It
affects a slightly older age group (10-20 years) c.f.
conventional osteosarcoma
Pathology
Periosteal osteosarcoma arise from the inner
germinative layer of periosteum. Cytologic grade of
this tumour is higher than parosteal osteosarcoma
and lower than convensional osteosarcomas, so it is
considered as intermediate grade osteosarcoma
(grade 2). It predominantly contains chondroid
matrix.

Location
lesions tend to be diaphyseal
femur and tibia most common,
especially medial distal femur
arises from cortex, being attached to
underlying cortex at origin;
intramedullary extension is rare.

Radiographic features ( General features)

Typically seen as a broad-based surface soft-tissue

mass causing extrinsic erosion of thickened

underlying diaphyseal cortex and perpendicular
periosteal reaction extending into the soft-tissue
component:
predominantly chondroid matrix results in a lesion
that is low in attenuation on CT images and
hyperintense on T2 weighted MR images andtends
to wrap around the circumference of the bone
aperiosteal reactioncommon, assunburstpattern
(radiating from bone surface) or aCodman triangle
http://radiopaedia.org/articles/periosteal-osteosarcoma

Osteosarcom
a

OsteoCHONDROMA

Type of periosteal
Reaction

1. http://www.bonetumor.org/tumorscartilage/periosteal-chondroma
2.
http://radiopaedia.org/articles/periost
eal-osteosarcoma
3.http://www. OrthoInfo .aaos.org

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