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Case Studies | Medicine | Indonesia | Volume 12 Issue 3, March 2023
Radiographic Overview of the Phalangeal Enchondroma: A Case Report
Gede Hermawan | Made Priska Rusmana  | Ayu Dwi Handayani
Abstract: Enchondroma is the most common benign tumor of the hand. These tumors are usually asymptomatic and are found as incidental radiographic findings. The imaging was similar with giant cell tumor. In some cases, these tumors can causing pain to pathological fractures, requiring conservative management or surgical excision. This case report aimed to report the radiographic features of a patient with phalangeal enchondroma. A 68 - year - old female patient came with a lump on her left wrist which was accompanied by pain. The patient had a history of falling and spraining her hand about five years ago. Since then, a lump has appeared which enlarged progressively. The lump has a firm consistency, regular surface, well - defined border, immobile, and tender. Hand radiographic examination revealed expansive lytic lesion with narrow transitional zone with amorphouscalcified matrix inside, endosteal scalloping, no periosteal reaction seen on metadiaphyse metacarpal V of left manus, suggesting an enchondroma with differential diagnosis giant cell tumor (GCT). No pathological fractures were found. The patient then underwent excision because there were symptoms and histopathological results confirmed the enchondroma. Radiographic examination is chosen for enchondroma because it can show an osteolytic appearance, is inexpensive, fast, and easy to access.
Keywords: enchondroma, radiography, phalanx
Edition: Volume 12 Issue 3, March 2023,
Pages: 970 - 973