Bizarre parosteal osteochondromatous proliferation

Case contributed by Dr Aneta Kecler-Pietrzyk

Presentation

Referred by GP with chronic left foot pain. Tender irregularity on examination at the base of the 2nd and 3rd toes. No history of trauma.

Patient Data

Age: 75 years
Gender: Male

2 cm irregular exophytic lesion arising from the proximal phalanx of the second toe causing separation of the second and third toes. It appears to contain chondroid matrix.

Mild overlying soft tissue swelling is noted.

Degenerative changes in the first metatarsophalangeal joint and several articulations of the midfoot. 

No acute fracture.

Case Discussion

Differential diagnosis for the lesion includes:

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Case information

rID: 55337
Case created: 30th Aug 2017
Last edited: 10th Sep 2017
Inclusion in quiz mode: Included

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