An Unusual Case of Solitary Osteochondroma of the Iliac Wing
Introduction. Osteochondromas represent one of the most common bone tumors accounting for 8% of all bone tumors. While most osteochondromas arise in the metaphysis of long bones, osteochondromas have been reported in atypical locations such as the scapula, metatarsals, and the pelvic region. Osteoch...
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| Format: | Article |
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Wiley
2020-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2020/8831806 |
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| author | Christopher Thomas Brent Sanderson Dennis G. Horvath Michael Mouselli Janet Hobbs |
| author_facet | Christopher Thomas Brent Sanderson Dennis G. Horvath Michael Mouselli Janet Hobbs |
| author_sort | Christopher Thomas |
| collection | DOAJ |
| description | Introduction. Osteochondromas represent one of the most common bone tumors accounting for 8% of all bone tumors. While most osteochondromas arise in the metaphysis of long bones, osteochondromas have been reported in atypical locations such as the scapula, metatarsals, and the pelvic region. Osteochondromas are capable of growing large enough to cause mass effects and can undergo malignant transformation, stressing the clinical importance of recognizing these tumors. Case Presentation. In this case, we present an 18-year-old skeletally mature Caucasian male with a symptomatic osteochondroma arising from the iliac wing. The osteochondroma increased in size since he reached skeletal maturity. This resulted in a mass effect that interfered with activities of daily living, including clothing wear and symptomatic impaction on hard surfaces. Conclusion. The majority of osteochondromas arise from the metaphysis of long bones, but case reports have shown that osteochondromas presenting in atypical locations such as the pelvis do occur. In the case of our patient, his asymptomatic pelvic tumor grew to the extent that it was causing interference with activities of daily living. Surgical excision of his tumor proved to be curative, and there was no recurrence at 6 months after excision. Osteochondromas in this region are capable of growing large enough to cause sexual dysfunction. Clinical suspicion must be high to properly diagnose osteochondromas in atypical locations. All providers, particularly those in primary care, should be aware of these locations as patients with symptomatic mass lesions will likely initially present here. |
| format | Article |
| id | doaj-art-fc828f68bee54731ac176f5e8fac748c |
| institution | Kabale University |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
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| series | Case Reports in Orthopedics |
| spelling | doaj-art-fc828f68bee54731ac176f5e8fac748c2025-02-03T05:51:16ZengWileyCase Reports in Orthopedics2090-67492090-67572020-01-01202010.1155/2020/88318068831806An Unusual Case of Solitary Osteochondroma of the Iliac WingChristopher Thomas0Brent Sanderson1Dennis G. Horvath2Michael Mouselli3Janet Hobbs4Community Memorial Health System-Department of Orthopaedic Surgery, 147 N. Brent St. Ventura, CA 93003, USACommunity Memorial Health System-Department of Orthopaedic Surgery, 147 N. Brent St. Ventura, CA 93003, USACommunity Memorial Health System-Department of Orthopaedic Surgery, 147 N. Brent St. Ventura, CA 93003, USAGraduate Medical Education, Community Memorial Health System 147 N Brent St. Ventura, CA 93003, USAGME Department, Community Memorial Hospital, 147 N. Brent St. Ventura, CA 93003, USAIntroduction. Osteochondromas represent one of the most common bone tumors accounting for 8% of all bone tumors. While most osteochondromas arise in the metaphysis of long bones, osteochondromas have been reported in atypical locations such as the scapula, metatarsals, and the pelvic region. Osteochondromas are capable of growing large enough to cause mass effects and can undergo malignant transformation, stressing the clinical importance of recognizing these tumors. Case Presentation. In this case, we present an 18-year-old skeletally mature Caucasian male with a symptomatic osteochondroma arising from the iliac wing. The osteochondroma increased in size since he reached skeletal maturity. This resulted in a mass effect that interfered with activities of daily living, including clothing wear and symptomatic impaction on hard surfaces. Conclusion. The majority of osteochondromas arise from the metaphysis of long bones, but case reports have shown that osteochondromas presenting in atypical locations such as the pelvis do occur. In the case of our patient, his asymptomatic pelvic tumor grew to the extent that it was causing interference with activities of daily living. Surgical excision of his tumor proved to be curative, and there was no recurrence at 6 months after excision. Osteochondromas in this region are capable of growing large enough to cause sexual dysfunction. Clinical suspicion must be high to properly diagnose osteochondromas in atypical locations. All providers, particularly those in primary care, should be aware of these locations as patients with symptomatic mass lesions will likely initially present here.http://dx.doi.org/10.1155/2020/8831806 |
| spellingShingle | Christopher Thomas Brent Sanderson Dennis G. Horvath Michael Mouselli Janet Hobbs An Unusual Case of Solitary Osteochondroma of the Iliac Wing Case Reports in Orthopedics |
| title | An Unusual Case of Solitary Osteochondroma of the Iliac Wing |
| title_full | An Unusual Case of Solitary Osteochondroma of the Iliac Wing |
| title_fullStr | An Unusual Case of Solitary Osteochondroma of the Iliac Wing |
| title_full_unstemmed | An Unusual Case of Solitary Osteochondroma of the Iliac Wing |
| title_short | An Unusual Case of Solitary Osteochondroma of the Iliac Wing |
| title_sort | unusual case of solitary osteochondroma of the iliac wing |
| url | http://dx.doi.org/10.1155/2020/8831806 |
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