13 KB156 KB12 KB199220252006Adamov, AleksandarFoteva, MartaSamardziski, MilanZafiroski, Georgeštevilka:4letnik:406 stranistr. 205-209ISSN:1318-2099COBISSID:22454745URN:URN:NBN:SI:doc-4VXED6UXenAssociation of Radiology and OncologyRadiology and oncology (Ljubljana)ChondromaDiagnosisdiagnostikaHondromhondromiKnee JointKolenski sklepnovotvorbesklepiTherapytumorIntracapsular and para- articular chondroma of knee| a report of four cases and review of the literature|Background. Intracapsular and para-articular chondroma is a rare variant of the extraskeletal chondromas. It arises from the capsule and/or the para-articular connective tissue of the large joints (mostly the knee) and is a result of cartilaginous metaplasia. In course of time these tumors ossify and this is where their second name comes from: Para-articular osteochondromas. According to Jaffe, not dependent on the degree of ossification of this tumor, there is one single entity in question. Cases report. We report four new cases of para-articulnr chondroma of the knee. On physical examination there was slow growing solid mass in the knee and moderate pain, the radiological findings and CT scan show soft-tissue mass with variable amount of ossification, and on histological examination the presence of mature hyaline and connective cartilage was confirmed in all of the cases. Conclusions. The diagnosis of these benign tumors is made with correlation of clinical, radiological and histological features. The treatmentof choice is surgical excision in totoIzhodišča. Intrakapsularni in paraartikularni hondrom sta redka oblika hondroma, ki se pojavlja izven skeletnega tkiva. Zraste iz ovojnice in/ali obsklepnega vezivnega tkiva velikih sklepov (največkrat kolena) zaradi hrustančne metaplazije. S časom tumorji osificirajo in od tod tudi njihovo drugo poimenovanje paraartikularni osteohondrom. Po mnenju Jaffeja gre za istoentiteto ne glede na stopnjo osifikacije. Prikaz primerov. Poročamo o štirih primerih paraartikularnega hondroma kolena. Pri kliničnem pregledu smo ugotovili počasi rastočo zatrdlino na kolenu in zmerno bolečino. Pri vseh primerih sta rentgensko slikanje in računalniška tomografija pokazali mehkotkivni tumor z različno stopnjo osifikacije; histološka preiskava pa prisotnost zrelega hialinega in vezivnega hrustanca. Zaključki. Te benigne tumorje smo diagnosticirali s primerjavo kliničnih, radioloških in histološkihznačilnosti. Vse bolnike smo radikalno operirali, kar je najprimernejši način zdravljenjaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaDruštvo radiologije in onkologije