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Giant osteochondroma - scapula

Case contributed by Iqbal Naseem
Diagnosis probable

Presentation

Patient presented with swelling over his right shoulder gradually increasing in size.

Patient Data

Gender: Male
x-ray

Radiograph showing large expansile lesion arising from scapula with chondroid matrix suggesstive of cartilaginous origin. 

Case Discussion

Although most osteochondromas are benign they can undergo malignant transformation.

A cartilaginous cap of thickness > 15mm should raise the possibility of malignant transformation.

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