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Chondroblastoma in children

 
, medical expert
Last reviewed: 23.04.2024
 
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Chondroblastoma is a benign cartilaginous tumor that affects the epiphyses of tubular bones. It consists of closely located cellular elements predominantly round or polygonal, regarded as chondroblasts.

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Epidemiology

Chondroblastoma is 1.0-2.0% of all neoplasm of the skeleton. Most often it is detected at the age of 10-20 years.

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Symptoms of the chondroblastoma in a child

Typical complaints are joint pain, the intensity of which increases over time. With prolonged course of the tumor, marked lameness, hypotrophy of the soft tissues of the limb, contracture of the joint. Typical localization is the epiphysis and epimetaphysis of long tubular bones.

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Diagnostics of the chondroblastoma in a child

On X-rays and CT, an eccentrically located lesion focus with clear boundaries and a tendency to spread to the metaphysis area is revealed in the epiphysis of the tubular bone. The presence of zones of calcification gives the internal structure of the focus a speckled appearance. When scintigraphy, both local hypervascularization (on average 170%) and hyperfixation of the radiopharmaceutical (average 230%) are recorded.

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What do need to examine?

Differential diagnosis

Differential diagnosis is carried out with a giant cell tumor.

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Treatment of the chondroblastoma in a child

Chondroblastoma surgical treatment is a radical tumor resection in combination with various types of bone auto- and alloplasty.

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