BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000)

R Shenoy; A Pillai; R Ried; P Tansey

doi:10.1302/0301-620X.88BSUPP_II.0880298

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BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000)

R Shenoy
A Pillai
R Ried
P Tansey

BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000)

Shenoy R, Pillai A, Ried R, Tansey P. BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000). Orthop Procs. 2006;88-B(SUPP_II):298-298. doi:10.1302/0301-620X.88BSUPP_II.0880298

Shenoy, R, et al. “BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000).” Orthopaedic Proceedings, vol. 88-B, no. SUPP_II, 2006, pp. 298-298., https://doi.org/10.1302/0301-620X.88BSUPP_II.0880298

Shenoy, R., Pillai, A., Ried, R., & Tansey, P. (2006). BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000). Orthopaedic Proceedings, 88-B(SUPP_II), 298-298. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880298

Shenoy, R., Pillai, A., Ried, R. and Tansey, P. (2006) “BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000).” Orthopaedic Proceedings, 88-B(SUPP_II), pp. 298-298. Available at: https://doi.org/10.1302/0301-620X.88BSUPP_II.0880298

Shenoy, R, A Pillai, R Ried, and P Tansey. “BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000).” Orthopaedic Proceedings 88-B, no. SUPP_II (2006): 298-298. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880298

Shenoy R, Pillai A, Ried R, Tansey P. BENIGN BONE TUMORS OF THE PEADIATRIC UPPER LIMB: A REVIEW OF THE SCOTTISH BONE TUMOR REGISTRY (1940–2000). Orthop Procs. 2006 May 1;88-B(SUPP_II):298-298. https://doi.org/10.1302/0301-620X.88BSUPP_II.0880298

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Abstract

Introduction: Musculoskeletal tumours and lesions resembling tumours present exceptionally difficult diagnostic and treatment problems in children. Presenting symptoms are usually a poor guide to diagnosis, and are often misleading.

Methods: A review of benign bone lesions of the upper limb in the peadiatric age group (0–14 yrs) from the Scottish Bone Tumour Registry is presented.

Results: Excluding myelomas and lymphomas, the registry included 154 lesions. 122 (80.2%) were benign including, 25 unicameral bone cysts, 22 aneurysmal bone cysts, 31 chondromas, 15 osteochondromas, 12 diaphyseal aclasis, 7 osteoidosteomas, 2 chondroblastomas, 2 nonossifying fibromas, and 1 each of giant cell tumour, eosinophilic granuloma and chondromyxoid fibroma.

Unicameral cysts- Age at presentation ranged from 3–14 yrs (mean 9.4).Male: Female incidence was 7.3:1. 92% involved the proximal humerus. 88 % presented with fracture. Recurrence rate after curettage was 20% at a mean of 10.8 mts.

Aneurysmal cysts – Age at presentation ranged from 5–14 yrs (mean 9.3). 55% involved the proximal humerus, and 20% hand bones. 45% presented with fracture. Recurrance rate after curettage was 31.8% at a mean of 15.1mts.

Chondromas- Age at presentation ranged from 3–14 yrs (mean 10.4).20 lesions were solitary and 11 multiple. Among solitary lesions, 16 were central (75% hand) and 4 parosteal.

Osteochondromas- Age at presentation ranged from 1–14 yrs (mean 10.1).Male: female ratio was 2.75:1. 53.3% involved the proximal humerus.

Osteoid Osteoma- Age at presentation ranged from 5–13 yrs (mean 10.14). Male: female ratio was 1:6. 42% involved the hand.

Discussion: Benign tumours compose majority of bone neoplasms in this age group. Unicameral and aneurysmal cysts, along with enchondromas were most frequent. Although the age at presentation shows variations with tumour type, the incidence seems to peak at 9–10 Yrs. Careful analysis of the clinical presentation, radiological characteristics and histology are required to distinguish them from malignant lesions.

Correspondence should be addressed to BOOS at the Royal College of Surgeons, 35 - 43 Lincoln’s Inn Fields, London WC2A 3PN