Abstract
Foot is an unusual site for chondrosarcoma and involvement of phalanges is extremely rare. We report a case of grade 2 chondrosarcoma of proximal phalanx resulting in its fracture along with transarticular extension to the middle phalanx of the 2nd toe of right foot in a 62 year old female. The patient presented with 1 and ½ year history of pain and swelling in right 2nd toe. X-ray showed presence of expanding lytic lesion with amorphous calcification along with fracture proximal phalanx. Fine needle aspiration cytology showed some pleomorphs, osteoclasts and some giant cells. We went for amputation of toe without a biopsy. Histopathological examination of specimen showed multiple pleomorphic cells, nuclear atypia, hyperchromasia with some giant cells (grade 2 chondrosarcoma).
Highlights
Chondrosarcoma constitute about 9% of primary malignancies of bone
Foot is an unusual site for chondrosarcoma and involvement of phalanges is extremely rare
We report a case of grade 2 chondrosarcoma of proximal phalanx resulting in its fracture along with transarticular extension to the middle phalanx of the 2nd toe of right foot in a 62 year old female
Summary
Chondrosarcoma constitute about 9% of primary malignancies of bone It occurs over a broad age range with peak between 40-60 years. Most patients present with symptoms of pain [3,4]. Case presentation A 62 year old Indian female belonging to lower socioeconomic status presented to the outpatient department with complaints of pain in the 2nd toe of right foot since 1nad 1⁄2 year along with swelling of the same toe since 6 months. Patient underwent Anterior-Posterior and lateral radiographs which showed fracture of the proximal phalanx along with destruction of the middle phalanx, amorphous calcifications were present along with endosteal scalloping (Figure 3,4). Histology showed Anisonucleosis, Hyperchromasia, Bizzare nuclei and giant cells with lobulated chondromatous tissue, confirming it to be the primary chondrosarcoma grade 2 (intermediate grade) a rare variety among the chondrosarcoma itself. There was no local or distant recurrence afterwards and patient is still under follow-up
Sign-in/Register to view highlights & summary Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
