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Spontaneous Regression Of Osteochondromas; Two Case Reports

Copeland et al., 1985Other/Unknown

Journal of Bone and Joint Surgery (United States) 67-A(6): July 1985; 971-973

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Abstract

Much has been written on the subject of osteochondromas, but in the English literature there has been only one report of an osteochondroma that regressed spontaneously. For that reason, we report two additional cases of this phenomenon.

Case Details

Personal Characteristics

This boy was eleven years old

Clinical Characteristics

A solitary sessile osteochondroma was noted on the posteromedial aspect of the distal femoral metaphysis. It measured six centimeters in diameter at the base and projected 1.7 centimeters away from the cortex. The patient had been asymptomatic with regard to the osteochondroma, although the osseous projection was palpable.

Remission Characteristics

Four months later, the mass was found to be reduced in size both clinically and on radiographs. Four months after that no mass in the thigh could be palpated and the radiographs revealed only a slight cortical prominence at the previous site of the lesion. At the last evaluation, nineteen months after the first presentation, the lesion could not be identified on the radiograph.

Treatment & Mechanisms

Proposed Remission Mechanisms

Not discussed

Clinical Treatment

No therapy was recommended.

Additional Notes

Much has been written on the subject of osteochondromas, but in the English literature there has been only one report of an osteochondroma that regressed spontaneously. For that reason, we report two additional cases of this phenomenon.