Isolated proximal humeral enchondroma 2 cases.docVIP

 PAGE \* MERGEFORMAT 4 Isolated proximal humeral enchondroma 2 cases Enchondroma is the second most common benign bone tumor, it is the formation of mature hyaline cartilage characteristics, accounting for 10% of benign bone tumors. Foot short hair for the best part of bone, occurred in the long tubular bones Enchondroma is relatively rare, and could potentially malignant. Court recently admitted two cases of proximal humeral enchondroma, confirmed by surgery and pathology, is combined with 2 cases of clinical disease, treatment and imaging analysis are discussed below . 1 Clinical data The group of 1 male and 1 female, aged 44-55 years old, no obvious clinical symptoms, shoulder injury for the X-ray film after the film came across. Examination: 1 case with mild tenderness (and trauma related. X ray and CT examination: the performance of similar, cauliflower and sand intramedullary granular calcification see the range of about 2.5-3cm, slightly narrowed canal, no significant changes in inflation, without involving the cortical bone, no periosteal reaction and soft tissue mass. preoperative diagnosis : 1 case of enchondroma, 1 case of bone infarction. 2 treatment and pathology Bone tumor in the epidural anesthesia curettage and bone grafting. Intraoperative findings humeral intramedullary size white bean scrapings multiple glass-like substance, some of the bone of the interval. Microscope, light blue hyaline cartilage matrix and calcium salt deposition, scattered chondrocytes. Pathology report: 2 cases were enchondroma. 3 Discussion Enchondroma of long bones is relatively rare, it occurs mainly in the upper humerus, distal femur and the tibia, reported occasionally occurred in the pelvis and ribs. Age of onset is 11-20 years and 41-50 years of age, gender, no significant difference, the patient usually no special symptoms or painless swelling to treatment. The major group of humeral intramedullary showed calcification of cart