Skip to main content

Advertisement

SpringerLink
Log in

Das benigne Chondroblastom

  • Published:
Archiv für orthopädische und Unfall-Chirurgie, mit besonderer Berücksichtigung der Frakturenlehre und der orthopädisch-chirurgischen Technik Aims and scope Submit manuscript

Zusammenfassung

An Hand von Literaturberichten und drei eigenen Fällen werden Klinik, Röntgenbild, morphologisches Verhalten und Differentialdiagnose desbenignen Chondroblastoms („Codmantumor“) besprochen. Die Kenntnis der selten vorkommenden Knochengeschwulst erscheint wegen der Gefahr einer Fehlinterpretation vor allem des morphologischen Bildes und der sich daraus ergebenden therapeutischen Konsequenzen wichtig. Bei exakter konservativ chirurgischer Therapie (Excochleation und evtl. Resektion) ist die Prognose der Erkrankung eine sehr gute. Auf die Problematik atypischer Chondroblastome wird hingewiesen.

Summary

Report in literatur and 3 own cases serve in discussing the clinical picture, X-ray picture, morphological behavior, differential diagnosis of the benign chondroblastoma (Codmantumor). The knowledge of the tumor, which only seldom occurs, appears to be very important owing to the danger of its wrong interpretation especially of the morphological picture and the therapeutic consequence resulting thereform. With an exact conservativ surgical treatment the prognosis of the condition is a very good one. It is especially pointed to the problem of the atypical chondroblastoma.

Résumé

On présente la clinique, l'aspect radiologique et morphologique ainsi que le diagnostic differentiel du chondroblastome benin (tumeur de Codman). Révue de litterature à laquelle trois nouveaux cas sont ajoutés. La conaissance de cette rare tumeur osseuse paraît importante en vue de fausse interpretation, surtout de l'aspect morphologique et des consequences therapeutiques qui en ressortent. L'exacte therapie chirurgicale conservatrice (excochleation, eventuellement resection) permet un bon prognostique de la maladie. Le probleme de chondroblastomes atypiques est demontré.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Literatur

  1. Ackerman, L. V., andH. J. Spjut: Tumors of bone and cartilage. Atlas of Tumor Pathology Sect. II, Fasc. 4. Arm. Forc. Inst. Path., Washington D.C.: 1962.

  2. Ardao, H. A.: Sarcoma condroide del humero: zit. beiValls u. Mitarb. [87].

  3. Baranova, A. G., u.L. A. Tscherkesskin: Sogenannte Varianten des Riesenzelltumors des Knochens. Vop. Onkol.10, 63 (1964) (russ.).

    Google Scholar 

  4. Becker, F., u.W. Becker: Operative Behandlung der Tumoren der Knochen, der Gelenke und Weichteile des Stützgewebes. Aus Therapie maligner Tumoren, Hämoblastome und Hämoblastosen. Bd. II: Die operative Behandlung der Geschwülste. Stuttgart: Enke 1967.

    Google Scholar 

  5. Benedetti, G. B.: Chondroblastic tumor of the mandibel with peculiar histological characteristics. Chir. Organi Mov.50, 135 (1961).

    Google Scholar 

  6. —— Benign chondroblastoma of bone. Critical review of the literature and histological and histochemical observations on 3 cases. Arch. Putti Chir. Organi Mov.16, 21 (1962).

    PubMed  Google Scholar 

  7. Bom, I. D.: Codman and Codman's tumor. Ned. T. Geneesk.108, 190 (1964).

    PubMed  Google Scholar 

  8. Breck, L., andJ. Emmet: Clin. Orthop.7, 132 (1956).

    Google Scholar 

  9. Buraczewski, J., J. Lysakowska, andW. Rudowski: Chondroblastoma (Codman's tumor) of the thoracic spine. J. Bone Jt Surg.39-B, 705 (1957).

    Google Scholar 

  10. Castleman, B., andB. U. McNeely: Case records of the Massachusetts General Hospital (Case 33/1964). New Engl. J. Med.271, 94 (1964).

    PubMed  Google Scholar 

  11. Cervenansky, J., P. Kossey u.B. Skrovina: Nádory kosti a im podobué afekcic. Vydavatel'stro Slovenskej Akademie Vied Bratislava 1964.

  12. Chokanov, K.: A case of a benign chondroblastom of bone with a rare lokalisation. Khirurgiya (Sofiya)16, 387 (1963).

    Google Scholar 

  13. Chwalibogowski, A., K. Romawsa, andZ. Waltenberger: A case of chondroblastoma in a 12 year old girl. Pediat. pol.36, 291 (1961) (pol.).

    PubMed  Google Scholar 

  14. Codman, E. A.: Epiphyseal chondromatous giant cell tumors of the upper end of the humerus. Surg. Gynec. Obstet.52, 543 (1931).

    Google Scholar 

  15. Cohen, J., andI. Cahen: Benign chondroblastoma of the patella. J. Bone Jt Surg.45-A, 824 (1963).

    Google Scholar 

  16. Coleman, S. Sh.: Benign chondroblastoma with recurrent soft-tissue and intraarticular lesions. J. Bone Jt Surg.48-A, 1554 (1966).

    Google Scholar 

  17. Coley, B. L., andA. J. Santoro: Benign central cartilaginous tumors of bone. Surgery22, 411 (1947).

    Google Scholar 

  18. —— Neoplasms of bone. 2 Ed. New York: Hoeber 1960.

    Google Scholar 

  19. Copeland, M. M., andC. F. Geschickter: Chondroblastic tumors of bone. Benign and malignant. Ann. Surg.129, 724 (1949).

    Google Scholar 

  20. —— Cartilaginous tumors of bone. Am. Acad. Orth. Surg.7, 1 (1950).

    Google Scholar 

  21. Dahlin, D. C.: Chondromyoid fibroma of bone with emphasis on its morphological relationship to benign chondroblastoma. Cancer8, 195 (1956).

    Google Scholar 

  22. —— Bone tumors. Springfield (Ill.): Thomas 1957.

    Google Scholar 

  23. Denko, J. V., andL. H. Krauel: Benign chondroblastoma of bone. An unusual lokalisation in temporal bone. Arch. Path.59, 710 (1955).

    Google Scholar 

  24. Ehalt, W., u.M. Ratzenhofer: Zur Kasustik des gutartigen Chondroblastoms. Z. Orthop.102, 625 (1967).

    PubMed  Google Scholar 

  25. Ewing, J.: A review of the classification of bone tumors. Surg. Gynec. Obstet.68, 971 (1939).

    Google Scholar 

  26. Fanelli, A.: Arch. Chir. ortop.10, 292 (1958).

    Google Scholar 

  27. Firtel, S. J.: Benign chondroblastoma of bone. Report of a case. Newark Beth. Israel Hosp. J.4, 117 (1953).

    Google Scholar 

  28. Fontaine, R., I. N. Muller, Y. Le Gall: Un cas de chondroblastoma épiphysaire bénine. Press. méd.68, 154 (1960).

    Google Scholar 

  29. France, W.: Benign chondroblastoma of bone. Brit. J. Surg.39, 357 (1952).

    PubMed  Google Scholar 

  30. Fridland, M. O., M. S. Tuerdynin u.R. R. Golonzko: Zum Problem des Chondroblastom. Ortop. Travm. Protez.21, 61 (1960) (russ.).

    Google Scholar 

  31. Gawlik, Z.: Chondroblastoma malignum primarium. Pat. pol.16, 181 (1965).

    PubMed  Google Scholar 

  32. Genovesi, A., andA. Barbareschi: On epiphyseal chondroblastoma. Clinical and morphological study of two cases. Brol. Lat.15, 279 (1962).

    Google Scholar 

  33. Goidanich I. F.: I tumori primitivi dell' osso. Bologna: Società per Azioni Poligrafici il Resto del Carlino 1967.

  34. Goodsell, J. O., andH. L. Hubinger: Benign chondroblastoma of mandibular condyl. J. oral. Surg. Anesth.22, 355 (1964).

    Google Scholar 

  35. Hadders, H. N., R. Donner u.T. G. van Rijssel: Chondroblastoma benignum. Ned. T. Geneesk.100, 2648 (1956).

    PubMed  Google Scholar 

  36. Hammarström, S.: Ein Fall von chondroblastischem Sarkom. Acta radiol. (Stockh.)15, 668 (1934).

    Google Scholar 

  37. Hatcher, Ch., andJ. C. Campbell: Benign chondroblastoma of bone. Bull. Hosp. Jt Dis (N.Y.)12, 411 (1951); zit. beiL. Lichtenstein [55].

    Google Scholar 

  38. Hellner, H.: Die Klinik der Knochengeschwülste. Helv. chir. Acta26, 621 (1959).

    PubMed  Google Scholar 

  39. Hiertonn, T., andE. Salén: Cystic lesions of bone resembling giant cell tumors. Acta orthop. scand.32, 281 (1962).

    PubMed  Google Scholar 

  40. Hipp, E.: Die Angiographie bei Knochengeschwülsten. Beilageheft Z. Orthop.94 (1961).

  41. Jaffe, H. L.: Tumors and tumorous conditions of the bones and joints. Philadelphia: Lea and Febiger 1958.

    Google Scholar 

  42. ——, andL. Lichtenstein: Benign chondroblastom of bone. A reinterpretation of the so called calcifying or chondromatous giant cell tumor. Amer. J. Path.18, 969 (1942).

    Google Scholar 

  43. Julliard, A.: Primary tumors of bone. III tumors with cartilag elements: chondroblastoma, chondrosarcoma. Concours méd.85, 3659 (1963).

    Google Scholar 

  44. Kaczynsa, W.: On the problem of the radiological picture of benign chondroblastoma. Pol. Przgel. radiol.24, 97 (1960).

    Google Scholar 

  45. Kato, Y., andT. Ebimara: Case of benign chondroblastoma. J. Ther. (Tokyo)45, 815 (1963).

    Google Scholar 

  46. King, E. S. J.: An example of benign osteogenic sarcoma. Brit. J. Surg.19, 330 (1931).

    Google Scholar 

  47. King, T.: Chondroblastoma of bone. Aust. N.Z.J. Surg.29, 135 (1959).

    PubMed  Google Scholar 

  48. Kolodny, A.: The primary malignant tumors of bone and the giant cell tumor. Surg. Gynec. Obstet. Suppl. I,44, 1 (1927).

    Google Scholar 

  49. Kuasnina, V. J.: Zur Differentialdiagnose des Chondroblastom und der osteoartikulären Tuberkulose. Ortop. Travm. Protez.25, 32 (1964) (russ.).

    Google Scholar 

  50. Kunkel, M. G., D. C. Dahlin, andH. H. Young: Benign chondroblastoma. J. Bone Jt Surg.38-A, 817 (1956).

    Google Scholar 

  51. Kuzmina, L. P., u.R. E. Schitnitzki: Zum Problem des benignen Chondroblastom des Knochens. Ortop. Travm. Protez.21, 74 (1960) (russ.).

    Google Scholar 

  52. Lagrof, F., andG. Tordjeman: A case of chondroblastoma of the femur. Pediatrics16, 708 (1961).

    Google Scholar 

  53. Lang, F.: Zur Bewertung der Probeexcisionen bei Knochengeschwülsten. Zbl. Chir.59, 1618 (1932).

    Google Scholar 

  54. Li, J. T.: Zkong Waike Z.8, 26 (1960).

    Google Scholar 

  55. Le Gall, Y.: Un cas de chondroblastom epiphysaire bénine. Ann. Anat. path. Suppl.4, 476 (1959).

    Google Scholar 

  56. Lichtenstein, L.: Bone tumors. 2 Ed. St. Louis: Mosby 1959.

    Google Scholar 

  57. Lichtenstein, L., andD. Bernstein: Unusual benign and malignant chondroid tumors of bone. Cancer12, 1142 (1959).

    PubMed  Google Scholar 

  58. ——, andL. Kaplan: Benign chondroblastoma of bone. Unusual localisation in femoral capital epiphysis. Cancer2, 793 (1949).

    Google Scholar 

  59. Malawski, S.: A case of chondroblastoma or Codman's tumor of the floor of the acetabulum. Chir. Narzŭad Ruchŭ29, 97 (1964) (pol.).

    Google Scholar 

  60. Mangini, U.: Benign chondroblastoma localized in the capitate bone. A case report. Bull. Hosp. Jt Dis.25, 50 (1964).

    Google Scholar 

  61. Middlemiss, J. H.: Cartilage tumors. Brit. J. Radiol.37, 277 (1964).

    PubMed  Google Scholar 

  62. Mol van Otterloo, J. de: Benign chondroblastoma (Radiography). Ned. T. Geneesk.106, 1110 (1962).

    PubMed  Google Scholar 

  63. Monesi, B., eV. Corradini: Sul condroblastoma epifisario. Arch. Putti Chir. Organi Mov.4, 184 (1954).

    Google Scholar 

  64. Nezelof, C., A. Mazabraud etP. Jobard: Le chondroblastom bénin des os. A propos de 4 observations. Arch. Anat. path.10, 111 (1962).

    Google Scholar 

  65. Odesskaia-Melnikova, L. A., F. L. Leites u.I. N. Odesskii: Benignes Chondroblastom des Knochens. Literaturübersicht. Vestn. Rentgenol. Radiol.34, 30 (1959) (russ.).

    Google Scholar 

  66. Oppenheim, J., andR. Boal: US armed Forces med. J.6, 279 (1955).

    Google Scholar 

  67. Otaka, Y., K. Yorinitsu, T. Masegawa, andY. Miura: A case of Codman's tumor occuring in the proximal end of the femur. Gann48, 650 (1957).

    Google Scholar 

  68. Payan, H.: Les éléments du diagnostic de tumeurs benignes du tissu squelettogène. Arch. Anat. path.8, 23 (1960).

    Google Scholar 

  69. Perejoan, R. J.: Anatomo radio-pathology of benign chondroblastoma. Acta ibér radiol.-cancer19, 255 (1964).

    Google Scholar 

  70. Petrova, A. S.: Cytologische Diagnose einiger knorpeliger Tumoren. Arkh. Pat.27, 25 (1965) (russ.).

    Google Scholar 

  71. Phemister, D. B.: Condrosarcoma of bone. Surg. Gynec. Obstet.50, 216 (1930).

    Google Scholar 

  72. Plum, G. E., andD. G. Pugh: Roentgenologic aspects of benign chondroblastoma of bone. Amer. J. Roentgenol.76, 584 (1958).

    Google Scholar 

  73. Popp, D. D., andJ. MacCarthy: Chondroblastoma of the cuboid. Northw. Med. (Seattle)59, 916 (1960).

    PubMed  Google Scholar 

  74. Renfer, H. R.: Chondroblastoma. Radiol. chir. (Basel)29, 288 (1960).

    Google Scholar 

  75. Ruziczka, O., u.L. Haslhofer: Über den klinischen Aspekt und die Pathologie des benignen Chondroblastom. Mschr. Kinderheilk.110, 201 (1962).

    PubMed  Google Scholar 

  76. Schilling, H.: Klinik und Morphologie der gutartigen Knochengeschwülste. Langenbecks Arch. klin. Chir.300, 692 (1962).

    Google Scholar 

  77. Schinz, H. R., R. Glauner, u.E. Uehlinger: Röntgendiagnostik. Ergebnisse 1952–1956, S. 89: Das benigne Chondroblastom. Stuttgart: Thieme 1957.

    Google Scholar 

  78. Schitnitzkii, R. E.: Klinische Aspekte, Diagnose und Behandlung des Chondroblastom des Knochens. Ortop. Travm. Protez.25, 23 (1964) (russ.).

    Google Scholar 

  79. Seliwanow, W. P., u.L. G. Bartel: Ein Fall von Chondroblastom (Codman's Tumor) des Metatarsus. Ortop. Travm. Protez.25, 65 (1964) (russ.).

    Google Scholar 

  80. Sherman, R. S., andA. R. Uzel: Benigne Chondroblastoma of bone. Its roentgen diagnosis. Amer. J. Roentgenol.76, 1132 (1956).

    PubMed  Google Scholar 

  81. Smith, D. A., W. C. Graham, andF. R. Smith: Benign chondroblastoma of bone. J. Bone Jt Surg.44-A, 571 (1962).

    Google Scholar 

  82. Sundaram, T. K. Sh.: Benign chondroblastoma. J. Bone Jt Surg.48-B, 92 (1966).

    Google Scholar 

  83. Sweetnam, R., andK. Ross: Surgical treatment of pulmonary metastases from primary tumors of bone. J. Bone Jt Surg.49-B, 74 (1967).

    Google Scholar 

  84. Trapeznikov, N. N., u.W. J. Plotnikov: Ungewöhnliche Lokalisation eines Knochenchondroblastom. Vop. Onkol.11, 97 (1965) (russ.).

    Google Scholar 

  85. Treasure, E. R.: Benign chondroblastoma of bone. Report of a case. J. Bone Jt Surg.37-B, 462 (1955).

    Google Scholar 

  86. Uehlinger, E.: Die pathologische Anatomie der Knochengeschwülste. Helv. chir. Acta26, 597 (1959).

    PubMed  Google Scholar 

  87. Urban, A.: Benignes Chondroblastom. Nowotwory5, 153 (1955) (pol.).

    Google Scholar 

  88. Valls, J., C. E. Ottolenghi, andF. Schajowicz: Epiphyseal chondroblastoma of bone. J. Bone Jt Surg.33-A, 997 (1951).

    Google Scholar 

  89. Vinogradova, T. P., N. A. Goluben: Über das Chondroblastom. Arkh. Pat.22, 20 (1960) (russ.).

    Google Scholar 

  90. Welsh, R. A., andA. T. Meyer: A histogenetic study of chondroblastoma. Cancer17, 578 (1964).

    PubMed  Google Scholar 

  91. Witwicki, T.: Zwei Fälle von Codman Tumor (Chondroblastom) in der proximalen Tibiaepiphyse. Chir. Narzad Ruchŭu.24, 1 (1959) (pol.).

    Google Scholar 

  92. Wolkow, M. B.: Chondroblastom des Knochens. Vestn. Rentgenol. Radiol.35, 8 (1960) (russ.).

    Google Scholar 

  93. Wright, J. L., andM. S. Sherman: An unusual chondroblastoma. J. Bone Jt Surg.46-A, 597 (1964).

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Orthopädische Klinik der Universität Wien, Austria

    M. Salzer

  2. Pathologisch-anatomisches Institut der Universität Wien, Austria

    M. Salzer-Kuntschik & G. Kretschmer

Authors
  1. M. Salzer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. Salzer-Kuntschik
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Kretschmer
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Salzer, M., Salzer-Kuntschik, M. & Kretschmer, G. Das benigne Chondroblastom. Arch orthop Unfall-Chir 64, 229–244 (1968). https://doi.org/10.1007/BF02171261

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02171261

Search

Navigation