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Image Description

Grade I chondrosarcoma arising in a metacarpal bone in a 69 y/o male. Distinction between a low-grade chondrosarcoma arising in the small bones of hands and feet from enchondromas can be quite challenging. Enchondromas in this location can be quite cellular; however, they form well-circumscribed nodules which grow by expansion. Chondrosarcomas, on the other hand, tend to grow by permeation of the marrow spaces and entrapping the bony trabeculae. For a cartilagenous tumor arising in the small bones of hands and feet, permeation of the surrounding soft tissue (as seen in this image) is considered diagnostic of chondrosarcoma.

Image 28 of 60