My child has a hard mass over the thigh
Abstract
Osteochondroma is a benign bone tumour comprised of a bony protuberance with a cartilaginous cap. Most osteochondromas are asymptomatic, only minority present with symptoms such as growth abnormality, fractures or mass effect on surrounding structures. In almost all cases, osteochondroma can be diagnosed using a plain radiograph. Asymptomatic lesion needs supportive care and observation. The solitary form of osteochondroma carries a good prognosis with malignant transformation occurring in less than 1% of patients. Physician should be aware of risk of malignant transformation (to secondary chondrosarcoma) if patient present with new pain in exostosis or growth of exostosis during adulthood. The aim of this article is to illustrate the common presentation of osteochondroma in a child and its subsequent management.
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