Vol. 2, Issue 1 (2020)
A study on osteochondromas from the right and left iliac wing in a tertiary care hospital
Author(s): Sandeep Saraf, Siva Saikumar Reddy
Abstract: Background: Osteochondromas are the most common of benign bone tumors that are recognized by a cartilage-capped bony mass that arises generally from the metaphysis or diaphysis of a long bone. They account for approximately 40% of all benign bone tumors. Aim: The present study investigated the number of cases treated at our institution for a period of two years of solitary osteochondromas. Methods: For all the osteochondroma cases, radiographic examination, CT, X-ray, MRI were performed to identify the solitary, sessile or pedunculated osteochondromas. The tumor was excised entirely by extraperiosteal resection. Precautions were taken not to damage the other bone areas. The excised tumor was sent for histopathology studies for the confirmed diagnosis of osteochondromas. Definitive diagnosis is usually established on histopathological examination. The presence of cortical and cancellous bone, both of which are continuous with the corresponding components of the parent bone, covered by a hyaline cartilaginous cap is diagnostic. Results: A total of seven osteochondroma (OC) cases were reported to the orthopaedic OPD with in a period of two years. In all the seven cases of osteochondromas, the patients were complained with pain at the iliac region and were removed surgically because they give functional complaints for instance due to compression on nerves or vessels they were unable to do their routine physical activities. Out of seven cases, four patients were identified with single solitary OC at left iliac wing and three cases with single OC at right iliac wing by physical examination, radiographs, X-ray, CT, MRI scans and confirmed further by histological examinations. Conclusion: The tumor was excised entirely by extraperiosteal resection. Surgical dissection is usually the best procedure in the cases where pain, cosmetic reasons, neurovascular compromise, abnormal growth, skeletal deformity, decreased motion of the adjacent joint or in cases with evidence of malignant transformation is noticed. Recurrences after complete surgical resection are rare and are probably caused by failure to remove the entire cartilaginous cap.