Enchondroma with pathological fracture

Case contributed by Frank Gaillard
Diagnosis certain

Left hand X-ray

x-ray

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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