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The “disappearing” Osteochondroma

Paling, M. R. 1983Other/Unknown

Skeletal Radiology 10: 1983; 40-42

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Abstract

Spontaneous regression of a solitary osteochondroma is described. This regression apparently resulted from a cessation of growth of the osteochondroma prior to skeletal maturation, with subsequent incorporation of the lesion into the enlarging bony metaphysis.

Case Details

Personal Characteristics

A 9-year-old boy

Clinical Characteristics

Presented with a palpable mass above the left knee

Remission Characteristics

Spontaneous regression of a solitary osteochondroma is described. This regression apparently resulted from a cessation of growth of the osteochondroma prior to skeletal maturation, with subsequent incorporation of the lesion into the enlarging bony metaphysis.

Treatment & Mechanisms

Proposed Remission Mechanisms

Cessation of growth of the osteochondroma prior to skeletal maturation, with subsequent incorporation of the lesion into the enlarging bony metaphysis

Non-Clinical Treatment

The lesion was followed with annual radiographs, over a six-year period, without treatment

Additional Notes

The ossified portion of the osteochondroma was observed to grow rapidly during the first two years. A short interval of apparent stability was then followed by progressive reduction in size of the lesion.