■软组织软骨瘤很少见,良性软骨肿瘤主要影响四肢,通常在没有明确性别偏爱的中年人中被诊断出来。尽管它们是良性的,由于生长缓慢,这些肿瘤可能会带来重大的诊断挑战,无症状性质,和模仿其他软组织肿瘤的潜力。
■我们报告一例27岁的男性,有8年的历史,在左脚第二脚趾的背侧有逐渐扩大的肿块,导致疼痛,行走困难,穿着鞋子。初步临床检查显示,患处无触痛肿胀,感觉减退。影像学检查结果表明软组织肿块伴有点状钙化,而磁共振成像显示,毗邻但并非由骨骼引起的信号强度病变较大。细针穿刺细胞学检查提示良性混合性肿瘤/软骨样汗管瘤。进行了切除活检,显示一个界限清楚的肿瘤,具有成熟透明软骨的小叶,与软组织软骨瘤的诊断一致。术后恢复顺利,除了局部皮瓣坏死通过植皮治疗。随访1年无复发。
■软组织软骨瘤,虽然罕见且良性,会显著影响患者的生活质量。正确诊断,包括全面评估和组织病理学确认,对于有效管理和预防不必要的干预措施至关重要。这个案例增加了对临床表现的宝贵见解,诊断挑战,软组织软骨瘤的管理策略。
UNASSIGNED: Soft-tissue chondromas are rare, benign cartilaginous tumors predominantly affecting the extremities, often diagnosed in middle-aged individuals without a clear sex predilection. Despite their benign nature, these tumors can pose significant diagnostic challenges due to their slow growth, asymptomatic nature, and potential for mimicking other soft-tissue tumors.
UNASSIGNED: We report a
case of a 27-year-old male with an 8-year history of a progressively enlarging mass on the dorsal aspect of the second toe of the left foot, leading to pain, difficulty in walking, and wearing shoes. Initial clinical examination revealed a firm, non-tender swelling with hypoesthesia over the affected area. Radiographic findings suggested a soft-tissue mass with stippled calcification, while magnetic resonance imaging indicated a large altered signal intensity lesion abutting but not arising from the bone. Fine needle aspiration cytology hinted at a benign mixed tumor/chondroid syringoma. An excisional biopsy was performed, revealing a well-circumscribed tumor with lobules of mature hyaline cartilage, consistent with a diagnosis of soft-tissue
chondroma. Post-operative period recovery was uneventful except for local flap necrosis which was managed with skin grafting. There was no recurrence at the 1-year follow-up.
UNASSIGNED: Soft-tissue chondromas, while rare and benign, can significantly impact patients\' quality of life. Correct diagnosis, involving a comprehensive evaluation and histopathological confirmation, is crucial for effective management and prevention of unnecessary interventions. This
case adds valuable insight into the clinical presentation, diagnostic challenges, and management strategies for soft-tissue chondromas.