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Left hand x-rays demonstrate a fracture through an abnormality of the metaphyseal region of the third proximal phalange characterized by a non-aggressive lytic lesion expanding the local bone. No periosteal reaction. No matrix calcification or ossification.
Case Discussion
The patient went on to have a resection.
Pathology:
The specimen consists of multiple tan cartilaginous tissue fragments aggregating to 2.5 x 2.5 x 1 cm.
Histology confirmed multiple benign-appearing cartilaginous fragments, in keeping with an enchondroma.
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