Doctor insights on:
Osteochondroma In Children
1:50,000 is the : overall incidence. Multiple Hereditary Exostoses, Types I, II & III map to genes on chromosomes 8, 11 & 19, respectively. Multiple osteochondromas can occur in a few other syndromes, also. See http://ghr.nlm.nih.gov/condition/hereditary-multiple-exostoses. His pediatrician or pediatric orthopedist can order a Chromosomal Microarray & refer him for a clinical genetics evaluation. ...Read more
What do you suggest if my son is 6 and has multiple osteochondromas on his bones, anybody know about this in chldren occuring?
Regular follow up: He should be seen by and have regular follow up with a pediatric orthopedic surgeon or orthopedic oncologist ...Read more
A bony growth: An osteochondroma is a benign bone growth. Bones usually grow through growth plates located at their end. An osteochondroma is thought to occur when there is a growth plate that develops in an abnormal location and this leads to a peice of bone growing out from the main bone in an abnormal location. ...Read more
Exostosis: Ostoochondroma or exostosis is benign tumor containing both bone and cartilage. A bone outgrowth or spur that has carilage cap and usually grows from end of bone away from joint. Deformity in modeling of bone may occur. Pain can occur if tendon rubs on growth and in rare instances (1% of lesions)) become malignant (chondrosarcoma). Hereditary forms of multiple osteochondromatosis (mho) can have many leasions, dominant inheritance (50% of children).. ...Read more
Flat shpe: Osteochondroma is a benign tumor that occurs in areas of bone and cartilage. Tumors are most often found in the long bones, especially near the knee or shoulder. Lesion can either be sessile or pedunculated.Sessile tumors appears as wide ranging with trumpet-shaped deformity. Pedunculated lesions appear distally. ...Read more
Extremely unlikely: Osteochondromais a benign tumor. 1% of cases or fewer turn into a low grade cancer (chondrosarcoma). It would be unlikely to spread or cause death. Even more rarely the low grade chondrosarcoma can progress into a high grade aggressive one that can be deadly. I guess you could also die of complications from having an osteochondroma removed. So overall chances of death from it are miniscule. ...Read more
Symptomatic?: Removal of osteochondroma is for local symptoms due to its size. They have a cartlege cap which in very rare occasions can turn cancerous. Usually only in people who have a disorder with multiple osteochondroma. This risk is not great enough in itself to have one removed ...Read more
Hi, My son was just diagnosed with osteochondroma on his heal. he is in abit of pain. is this a concern?
Pump Bump.: It sounds like your son has developed a Haglunds deformity. Also known as a pump bump, it is an enlargement of the posterior surface of the heel bone. Osteochondroma is the most common benign tumor of the bone. Causing the enlargement can be high arches, tight heel cords or even walking on the outside of the heel. Consult with a specialist as treatment varies in line with age, severity and cause ...Read more
26 yr old male. Osteochondroma became painful a decade later. Should i be worried? The size seems to stay the same. It's just pain.
You have to: see orthopedic surgeon. By your age of 25 growth plates fuses should not have pain . Some times surgical intervention is needed, also in a very low percentage malignant transformation is possible . See your doctor for revaluation if you consulted few years ago.. ...Read more
Excisional Biopsy: It may be single or multiple. If it is single and close to the joint and is symptomatic , it can be excised. If you notice sudden growth in multiple familial variety, then excisional biopsy is done to rule out malignant change. ...Read more
Sarcs are malignant: Osteosarcoma is a cancer starting in bones, most commonly in children/young adults, while osteochondroma is a non-cancerous bony spur, most often occuring in teenagers. Osteochondromas usually need no treatment and are only followed, while osteosarcomas require agressive treatment, often including chemotherapy, radiation therapy and surgery; the prognosis has improved a great deal recently. ...Read more
Both bone cancers: They are both bone cancers, but look somewhat differently under the microscope. Osteosarcoma is more common and generally presents in adolescents and young adults. Chondrosarcoma presents later usually. Treatment for osteosarcoma involves chemo and surgery whereas for chondrosarcoma is surgery and chemotherapy is controversial. ...Read more
Depends: Depends on location of osteochondroma. They are generally located near the knee. Most time off is due to healing of the wound that can take several weeks. If it is a pedunculated lesion it will not violate cortex too much and usually can weight bear as tolerated immediately after surgery. If it is sessile and requires alot of violation of cortex some degree of weight restriction may be requd. ...Read more
See below: By definition a solitary osteochondroma is benign, not cancer. However osteochondromas can be multiple benign tumors of cartilage, called osteochondromas, projecting from bone, most often from near the ends of long bones. In a small proportion of cases, an osteochondroma may become malignant. Also known as multiple exostoses. The condition can be hereditary, in which case it is called hereditary. ...Read more
Not dangerous: These are typically benign growths. Talk with your doctor. ...Read more
Benign vs cancer: Osteochondromas are the most common form of non-cancerous bone tumors, usually look like they are growing on the bone surface, and do not spread beyond the affected bone. Osteogenic sarcomas are aggressive cancerous bone tumors that typically cause destruction of the involved bone as well as producing new bone in a haphazard fashion. ...Read more
Can osteochondroma cause stress # in a similar location? If so will healing time of the # increase?
Yes and maybe: It really depends on the size and location of the tumor. The tumor itself can fracture, or the bone above or below it can fracture if the tumor causes enough deformity. If the tumor was surgically removed from a weight-bearing bone, there may be a defect in that area which is prone to a stress fracture. Healing time is very individual. Follow your ortho's instructions to heal quickly! ...Read more
NA: NO osteochondroma is a benign conditionGet a more detailed answer ›
How do you know if somebody has osteochondroma or osteosarcoma? Do you have to wait for biopsy results?
Almost never: Osteochondroma and osteosarcoma look very different on x-ray, ct and mri. Osteochondroma can be confidently diagnosed with imaging alone. There is <1% chance of an osteochondroma turning into a chondrosarcoma. In that rare event, it's usually a low grade one that almost never spreads. For osteosarcoma, there is usually strong suspicion based on imaging, but a biopsy is needed to confirm. ...Read more