PMC10152955_01
Clinical picture showing AP and lateral views.
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F1
Radiograph of Right Hand showing tumor in different views.
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F2
The X-ray depicted a pedunculated bony mass with an outward growth from the distal part of the fifth metacarpal in its metaphyseal region as seen in Fig. 2.
MRI image showing AP, Cross sectional, and lateral view.
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F3
The magnetic resonance imaging, showed of 2 cm x 2.5 cm x 3 cm (Antero-posterior x Transverse x Superoinferior) measuring bony overgrowth seen coming from far end of the fifth metacarpal in its metaphyseal region causing displacement of flexor tendon (5th flexor digitorum profundus tendon) and causing impingment over flexor and abductor digiti minimi muscle belly (Fig. 3) and was diagnosed as osteochondroma.
Intraoperative clinical image showing tumor and tumor after excision.
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F4
Complete tumour excision done from the base of the pedicle (Fig. 4).
Histopathological images showing - (1) Homogeneous cartilaginous tissue; (2) interosseous connective tissue; (3) bony trabeculae; and (4) endochondral ossification.
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F5
The mass was removed and sent for histopathological testing and it was reported as osteochondroma showing bony trabecular tissue enclosed by a cartilaginous cap (Fig. 5).
1-year Post-operative clinical images showing ROM.
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F6
The patient underwent clinical and radiographic examination with a satisfactory outcome (Fig. 6 and 7).
Post-operative day 1 and 1 year radiograph.
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F7
The patient underwent clinical and radiographic examination with a satisfactory outcome (Fig. 6 and 7).
PMC10152955_02
Clinical picture showing swelling over scapula.
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F8
Pre-operative radiograph showing tumor in AP and scapular Y view.
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F9
X-ray imaging showed a sessile outgrowth of the right scapula on the dorsal region near its medial border and was not involving the scapulothoracic joint (Fig. 9).
CT Image showing tumor in tranverse and coronal plane.
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F10
A lesion measuring 34x29x30mm in size with irregular overlying cartilage (Fig. 10).
Intraoperative image showing incision, excised tumor, and post-suturing picture.
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F11
Muscular traction application done followed by extra periosteal enmassae resection of the mass was done (Fig. 11) and sample of lesion sent for histopathological examination.
Histopathological slide showing (1) Homogenous cartilaginous material, (2) Bony trabeculae and connective tissue.
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F12
It showed homogenous cartilaginous material, bony trabeculae, and connective tissue (Fig. 12).
PMC10152955_03
Clinical image showing swelling in occipital region.
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F13
In July 2022, a 35-year-old male patient came with complaints of headache and a painless swelling over posterior aspect of skull (Fig. 13), which was insidious in onset and gradually progressed to present state.
CT image showing outgrowth in occipital region.
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F14
CT showed a pedunculated growth in the occipital region arising from the inner table near the base of skull (Fig. 14).
Intra-op images showing tumor and post suturing picture.
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F15
A vertical incision of around 4 cm was along the midline in occipital region centered over the swelling (Fig. 15).
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