PMC6437730_01
Oblique radiograph of the right hand demonstrating a lytic destructive process of the base of the proximal phalanx, third digit.
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fig1
Radiographs obtained demonstrated a lytic lesion within the head of the proximal phalanx of the third digit with surrounding periosteal reaction (Figure 1).
T1 axial MRI image of the right hand demonstrating an expansile destructive mass involving the proximal phalanx of the third digit measuring 3.8 x 2.2 x 3.5 cm.
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MRI was also obtained to determine extent of the tumor and is shown in Figures 2 and 3.
T2 sagittal MRI image of the described chondrosarcoma.
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MRI was also obtained to determine extent of the tumor and is shown in Figures 2 and 3.
Gross surgical image of dissection/approach.
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The intermetacarpal ligaments and dorsal interossei from the second and fourth digits were approximated to obliterate the dead space remaining (see Figures 4-6).
Gross surgical image of excised tumor specimen.
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fig5
The intermetacarpal ligaments and dorsal interossei from the second and fourth digits were approximated to obliterate the dead space remaining (see Figures 4-6).
Gross surgical image of dead space after ray resection/tumor excision.
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fig6
The intermetacarpal ligaments and dorsal interossei from the second and fourth digits were approximated to obliterate the dead space remaining (see Figures 4-6).
Microscopic image of chondrosarcoma at 10x magnification.
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The pathology department at our institution was also contacted, and the pathology slides (10x, 20x, and 40x, respectively) were provided to us for reference and are seen in Figures 7-9.
Microscopic image of chondrosarcoma at 20x magnification.
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fig8
The pathology department at our institution was also contacted, and the pathology slides (10x, 20x, and 40x, respectively) were provided to us for reference and are seen in Figures 7-9.
Microscopic image of chondrosarcoma at 40x magnification.
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fig9
The pathology department at our institution was also contacted, and the pathology slides (10x, 20x, and 40x, respectively) were provided to us for reference and are seen in Figures 7-9.
Image of patient's hand at one-year follow-up visit.
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The patient was not endorsing any pain in the hand and states that he was able to return to work without any limitations (see Figure 10).