Multiple endochondromatosis in children?

summary

Multiple endochondromatosis was first described by Ollier in 1899, so it is also called Ollier's disease. It is a rare non hereditary benign tumor. Most of them were asymmetrically distributed in cartilage lesions and subperiosteal deposition. It can be found in both long and short tubular bones, and it can occur in unilateral or bilateral limbs. Let's share my experience with you.

Multiple endochondromatosis in children?

Symptoms and signs: palpable mass with little pain. Tumor invasion of the hand or foot, due to multiple lesions can cause disability. The lesions invaded the long tubular bone, which made the ossification of endogenous cartilage unable to proceed normally, and the epiphyseal plate could not grow normally, so the limbs could be shortened and bent.

Such as forearm to ulnar bending deformity, lower limb genu valgus and so on. When the patient reaches adulthood, the tumor can stop growing. Malignant transformation can occur in adult patients with multiple endochondromatosis. The malignant transformation rate is about 5% - 25%. Multiple endophytic chondromatosis, often in childhood symptoms, to adolescent deformity obvious, after gradually stable.

Because of the multiple lesions, it is difficult to treat every endochondroma. Asymptomatic patients can not be treated, but should be followed up. For the specific parts with symptoms, curettage and bone grafting can be done, and osteotomy can be done to correct the obvious limb deformity.

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