Enchondroma - distal phalanx

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Pain and swelling along with left middle finger distal phalanx.

Patient Data

Age: 65 years
Gender: Male
x-ray

An expansile lytic lesion is seen in the distal phalanx of the left middle finger, in keeping with an enchondroma.

A cortical breakthrough can be observed at the medial edge of the lesion.

Case Discussion

Findings are consistent with an enchondroma with benign imaging features. Enchondromas are usually asymptomatic, but those found in the hands or feet can cause pain due to a pathological or impending fracture.

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