Benign Tumors: Fibrous Dyslplasia and Enchondromatosis

Description

In this presentation, Dr. Taylor Reif discusses two bone conditions: fibrous dysplasia and enchondroma, which involve pathological changes within bone tissues. Fibrous dysplasia consists of dysplastic fibrous tissue and abnormal woven bone, while enchondroma features ectopic hyaline cartilage within the bone. Both conditions can appear in solitary or disseminated forms, with treatment options ranging from observation to stabilization, depending on the extent and impact of the lesions.



The discussion includes detailed descriptions of fibrous dysplasia, which can be monostatic or polyostotic and often leads to significant deformities, particularly in the lower extremities. Dr. Reif also addresses the oncological risks associated with these conditions, emphasizing the importance of surveillance and whole-body MRI for early detection of malignancies, especially in syndromes like Ollier's disease and Maffucci syndrome.



The presentation further examines diagnostic criteria, treatment approaches, and case studies illustrating the complexities of managing leg discrepancies and deformities resulting from these conditions. Key takeaways include the necessity for a multidisciplinary approach to treatment, including orthopedic, endocrinological, and oncological expertise, given the potential for malignancies and the impact on the patients' quality of life.

Specialties