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Metatarsal enchondroma

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Two year history of bony swelling on dorsum of left foot, approximately 3.5cm size. Not mobile, feels hard and bony.

Patient Data

Age: 30 years
Gender: Male
x-ray

Well-defined expansile lucent lesion with a punctate internal matrix and cortical thinning extending from the neck of the second metatarsal into the midshaft. Clearly defined zone of transition between normal and abnormal bone.

The lesion measures approximately 2 cm in maximum diameter.
 

Case Discussion

The appearances of the lesion are those of an enchondroma.

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