Osteochondroma

(Osteocartilaginous Exostosis)

Pronounced: Oss-tee-oh-kon-drome-a

Definition

An osteochondroma is the most common type of harmless bone tumor. It starts in the cartilage that cushions bones. It can appear on the bones of the arms and legs. Sometimes it happens on the pelvic bones and shoulder blades.

An osteochondroma usually stops growing when a person reaches full height. If the tumors are harmful, they will keep growing and spreading.

Cartilage

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Causes    TOP

The cause of osteochondroma is unknown. A hereditary form of the disease may be linked to problems with your genes.

Risk Factors    TOP

Your chances of osteochondroma are higher if you:

  • Are a child or teen.
  • Are male.
  • Have other people in your family with the same problems.
  • Have many osteochondromas on your bones. These are hereditary and rare.

Symptoms    TOP

Osteochondroma may cause:

  • A hard, bony lump that may be:
    • Painless and not tender, but the tissue around it may become irritated and painful
    • Enlarging in size
  • A long bone that breaks with less than the usual amount of force
  • Pressure on nearby structures, including nerves

Diagnosis    TOP

You will be asked about your child's symptoms and health history. Your answers and a physical exam may point to osteochondroma. They may also have:

Imaging tests such as:

Your child's doctor may do a biopsy. A tissue sample is taken and checked in a lab. This will determine if the lump is cancerous.

Treatment    TOP

Your child's doctor will go over treatment options. These may be:

  • Monitoring—If the lump is not causing pain or other problems, it may be left alone. You and the doctor will keep track of it for any changes or new problems.
  • Surgery—The lump is removed if it causes pain or other complications. It’s also removed if there is a chance of cancer. If the bone is weak, it can be rebuilt. Rebuilding the bone is done over a long period of time.

Prevention    TOP

There is no way to prevent osteochondroma since the cause is unknown.

RESOURCES:

American Cancer Society
https://www.cancer.org
Ortho Info—American Academy of Orthopaedic Surgeons
https://orthoinfo.org

CANADIAN RESOURCES:

Canadian Cancer Society
https://www.cancer.ca
When it Hurts to Move—Canadian Orthopaedic Foundation
https://whenithurtstomove.org

References:

Murphey M, Choi J, Krandsdorf MJ, Flemming DJ, Gannon FH. Imaging of osteochondroma: variants and complications with radiologic-pathologic correlation. Radiographics. 2000;20(5):1407-1434.
Osteochondroma. Bone Tumor website. Available at:
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Accessed August 1, 2018.
Osteochondroma. EBSCO DynaMed Plus website. Available at: http://www.dynamed.com/topics/dmp~AN~T116166/Osteochondroma. Updated June 28, 2017. Accessed August 1, 2018.
Osteochondroma. Johns Hopkins Medicine website. Available at: https://www.hopkinsmedicine.org/healthlibrary/conditions/adult/bone_disorders/osteochondroma_85,p00125. Accessed August 1, 2018.
Osteochondroma. Ortho Info—American Academy of Orthopaedic Surgeons website. Available at: https://orthoinfo.aaos.org/en/diseases--conditions/osteochondroma. Updated May 2012. Accessed August 1, 2018.
Last reviewed June 2018 by EBSCO Medical Review Board Mohei Abouzied, MD, FACP
Last Updated: 8/1/2018

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