bb5-chap10软骨肿瘤.pdf

CHAPTER 10 Cartilage Tumours Tumours which produce a chondroid matrix are logically grouped together although questions linger about their true his- togenesis. It is also debatable as to whether some of these enti- ties represent true neoplasms. They also range from complete- ly benign lesions to highly lethal neoplasms. However, they have the common characteristic of producing chondroid matrix at least in foci. Many benign cartilage tumours are asymptomatic, incidental findings on roentgenograms, whereas malignant tumours almost always produce symptoms. Roentgenographic findings are of critical importance in diagnosing cartilage tumours. It is reasonable to divide cartilage tumours into benign and malig- nant counterparts. However, benign tumours rarely undergo malignant transformation. This chapter also contains a section on synovial chondromato- sis, a lesion that does not originate from bone. It is included here because of its cartilaginous nature. It is a primary condition and the growth characteristics and locally destructive behaviour sug- gest a neoplasm. Malignancies affecting the synovial mem- branes are exceptionally rare. Osteochondroma J. Khurana F. Abdul-Karim J.V.M.G. Bovée Definition Involvement of flat bones is less common Multiple osteochondromas are similar to Osteochondroma is a cartilage capped with the ilium and scapula accounting for the solitary ones but are gene