Multiple hereditary exostoses with iliac chrondrosarcoma
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Diagnosis certain
Presentation
Pelvic discomfort.
Patient Data
Gender: Male
From the case:
Multiple hereditary exostoses with iliac chrondrosarcoma
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Multiple pelvic exostoses with a bulky calcified mass in the right ileum.
From the case:
Multiple hereditary exostoses with iliac chrondrosarcoma
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Multiple sessile and pedunculated osteochondromas of the pelvis and proximal femora. Large osteochrondroma arising from the right iliac wing with low-attenuation soft tissue mass with finer calcifications extending posteromedially and cranially along the course the psoas.
Case Discussion
This patient developed a symptomatic, partially calcified soft tissue mass at the site of existing osteochondroma, which is concerning for low-grade chondrosarcomatous transformation. This patient eventually underwent right hemipelvectomy with final pathology confirming chondrosarcoma.
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