Images in Clinical Rheumatology
Incidental finding of pelvic osteochondroma
Hallazgo incidental de osteocondroma pélvico
Ana Moreno-Ballesteros
, M. Cinta Calvo-Morón, Francisco Javier García-Gómez, Juan Castro-Montaño
Corresponding author
Servicio de Medicina Nuclear, Hospital Universitario Virgen Macarena, Sevilla, Spain
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Cinta Calvo-Morón, Francisco Javier García-Gómez, Juan Castro-Montaño" "autores" => array:4 [ 0 => array:4 [ "nombre" => "Ana" "apellidos" => "Moreno-Ballesteros" "email" => array:1 [ 0 => "ana.moreno.ballesteros.sspa@juntadeandalucia.es" ] "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "*" "identificador" => "cor0005" ] ] ] 1 => array:2 [ "nombre" => "M. 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(B) 3D reconstruction of the SPECT/TC imaging.</p>" ] ] ] "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Male aged 74, with a background of <span class="elsevierStyleItalic">de novo</span> prostate cancer was referred for staging and treatment assessment. The patient was asymptomatic and denied suffering from any previous trauma or infections.</p><p id="par0010" class="elsevierStylePara elsevierViewall">A complete whole body bone scan was performed with <span class="elsevierStyleSup">99m</span>Tc-HDP in anterior and posterior projections (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) where an increase in uptake of the tracer of slight to moderate intensity was observed, together with lineal morphology in the projection region of the right anterior inferior iliac spine, of doubtful pathological significance (arrow).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><p id="par0015" class="elsevierStylePara elsevierViewall">Retrospectively reviewing the medical background and additional tests, in the plain X-ray of the abdomen in supine position (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B) the presence of a radiodense image was observed, with well-defined edges and radiolucent areas on the inside, which appeared to depend on the iliac bone (arrow).</p><p id="par0020" class="elsevierStylePara elsevierViewall">For further determination of the finding, SPECT/CT with 3D reconstruction was performed (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>A and B, respectively), confirming correlation with a bony outgrowth (arrow heads) of approximately 2.35<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>1.47<span class="elsevierStyleHsp" style=""></span>cm towards superficial planes, anteriorly displacing the muscular belly of the sartorius which in the image morphology is continuous with the bone cortex and bone marrow tissue, and is suggestive of osteochondroma.</p><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0025" class="elsevierStylePara elsevierViewall">Osteochondroma or cartilage-capped bone spur, is the most commonly worldwide benign bone tumour,<a class="elsevierStyleCrossRef" href="#bib0030"><span class="elsevierStyleSup">1</span></a> accounting for 20%–50% of benign tumours and between 10%–20% of all primary bone tumours, with a prevalence of approximately 3%.<a class="elsevierStyleCrossRef" href="#bib0035"><span class="elsevierStyleSup">2</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">It is a proliferation of bone composed of the marrow and cortex capped by cartilage, an area of growth, which usually diminishes after skeletal maturity. Predilection is for long bone mataphysis, although they have been described throughout the skeleton.<a class="elsevierStyleCrossRef" href="#bib0040"><span class="elsevierStyleSup">3</span></a> They have a certain potential for malignancy, evolving into chondrosarcoma in 0.5%–5% of cases.<a class="elsevierStyleCrossRefs" href="#bib0035"><span class="elsevierStyleSup">2,3</span></a> They may be single or multiple<a class="elsevierStyleCrossRef" href="#bib0045"><span class="elsevierStyleSup">4</span></a> and appear spontaneously or after an injury.<a class="elsevierStyleCrossRef" href="#bib0050"><span class="elsevierStyleSup">5</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">To sum up, when there is an incidental finding of a bony outgrowth with continuity of the cortical bone, cartilage-capped, osteoblastic activity similar to that of the adjacent bone tissue and without other morphofunctional malignancy criteria, the diagnosis of osteochondroma must be suggested as a first line option.</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0040" class="elsevierStylePara elsevierViewall">The authors have no conflict of interests to declare.</p></span></span>" "textoCompletoSecciones" => array:1 [ "secciones" => array:2 [ 0 => array:2 [ "identificador" => "sec0005" "titulo" => "Conflict of interests" ] 1 => array:1 [ "titulo" => "References" ] ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2018-01-11" "fechaAceptado" => "2018-02-07" "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: Moreno-Ballesteros A, Calvo-Morón MC, García-Gómez FJ, Castro-Montaño J. Hallazgo incidental de osteocondroma pélvico. Reumatol Clín. 2020;16:183–184.</p>" ] ] "multimedia" => array:2 [ 0 => array:7 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1293 "Ancho" => 2000 "Tamanyo" => 191623 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">(A) Complete whole-body anterior and posterior bone scan with <span class="elsevierStyleSup">99m</span>Tc-HDP. (B) Simple AP X-ray of the abdomen.</p>" ] ] 1 => array:7 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 955 "Ancho" => 2333 "Tamanyo" => 204560 ] ] "descripcion" => array:1 [ "en" => "<p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">(A) Axial slices of the SPECT/CT image fusion with <span class="elsevierStyleSup">99m</span>Tc-HDP. (B) 3D reconstruction of the SPECT/TC imaging.</p>" ] ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:2 [ "identificador" => "bibs0015" "bibliografiaReferencia" => array:5 [ 0 => array:3 [ "identificador" => "bib0030" "etiqueta" => "1" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Osteochondroma and multiple osteochondromas: Recommendations on the diagnostics and follow-up with special consideration to the occurrence of secondary chondrosarcoma" "autores" => array:1 [ 0 => array:2 [ "etal" => true "autores" => array:6 [ 0 => "G.H. Herget" 1 => "U. Kontny" 2 => "U. Saueressig" 3 => "D. Baumhoer" 4 => "O. Hauschild" 5 => "T. 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Zhong" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1016/j.jbo.2017.08.002" "Revista" => array:6 [ "tituloSerie" => "J Bone Oncol" "fecha" => "2017" "volumen" => "8" "paginaInicial" => "23" "paginaFinal" => "29" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28932679" "web" => "Medline" ] ] ] ] ] ] ] ] 3 => array:3 [ "identificador" => "bib0045" "etiqueta" => "4" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "What is the proportion of patients with multiple hereditary exostoses who undergo malignant degeneration?" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "C.M. Czajka" 1 => "M.R. DiCaprio" ] ] ] ] ] "host" => array:1 [ 0 => array:2 [ "doi" => "10.1007/s11999-015-4134-z" "Revista" => array:6 [ "tituloSerie" => "Clin Orthop Relat Res" "fecha" => "2015" "volumen" => "473" "paginaInicial" => "2355" "paginaFinal" => "2361" "link" => array:1 [ 0 => array:2 [ "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25582066" "web" => "Medline" ] ] ] ] ] ] ] ] 4 => array:3 [ "identificador" => "bib0050" "etiqueta" => "5" "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "Exostosis tibial: osteocondroma" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:4 [ 0 => "R. Parada López" 1 => "E. Montano Navarro" 2 => "A.L. Lafraya Puente" 3 => "M. 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| Year/Month | Html | Total | |
|---|---|---|---|
| 2024 November | 8 | 8 | 16 |
| 2024 October | 67 | 17 | 84 |
| 2024 September | 62 | 16 | 78 |
| 2024 August | 61 | 34 | 95 |
| 2024 July | 66 | 23 | 89 |
| 2024 June | 51 | 28 | 79 |
| 2024 May | 58 | 29 | 87 |
| 2024 April | 49 | 24 | 73 |
| 2024 March | 50 | 26 | 76 |
| 2024 February | 42 | 32 | 74 |
| 2024 January | 27 | 15 | 42 |
| 2023 December | 29 | 20 | 49 |
| 2023 November | 37 | 26 | 63 |
| 2023 October | 38 | 21 | 59 |
| 2023 September | 56 | 41 | 97 |
| 2023 August | 68 | 27 | 95 |
| 2023 July | 33 | 18 | 51 |
| 2023 June | 33 | 18 | 51 |
| 2023 May | 40 | 27 | 67 |
| 2023 April | 32 | 6 | 38 |
| 2023 March | 55 | 20 | 75 |
| 2023 February | 52 | 25 | 77 |
| 2023 January | 38 | 8 | 46 |
| 2022 December | 66 | 29 | 95 |
| 2022 November | 45 | 27 | 72 |
| 2022 October | 59 | 32 | 91 |
| 2022 September | 44 | 23 | 67 |
| 2022 August | 38 | 42 | 80 |
| 2022 July | 39 | 43 | 82 |
| 2022 June | 51 | 34 | 85 |
| 2022 May | 24 | 37 | 61 |
| 2022 April | 25 | 42 | 67 |
| 2022 March | 31 | 35 | 66 |
| 2022 February | 50 | 23 | 73 |
| 2022 January | 69 | 37 | 106 |
| 2021 December | 25 | 38 | 63 |
| 2021 November | 32 | 40 | 72 |
| 2021 October | 36 | 47 | 83 |
| 2021 September | 28 | 33 | 61 |
| 2021 August | 21 | 29 | 50 |
| 2021 July | 20 | 22 | 42 |
| 2021 June | 23 | 22 | 45 |
| 2021 May | 38 | 39 | 77 |
| 2021 April | 60 | 69 | 129 |
| 2021 March | 50 | 19 | 69 |
| 2021 February | 32 | 17 | 49 |
| 2021 January | 31 | 23 | 54 |
| 2020 December | 21 | 11 | 32 |
| 2020 November | 22 | 15 | 37 |
| 2020 October | 10 | 15 | 25 |
| 2020 September | 25 | 19 | 44 |
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