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Indian Journal of Medical Sciences
Medknow Publications on behalf of Indian Journal of Medical Sciences Trust
ISSN: 0019-5359 EISSN: 0019-5359
Vol. 59, No. 6, 2005, pp. 259-264
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Bioline Code: ms05039
Full paper language: English
Document type: Research Article
Document available free of charge
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Indian Journal of Medical Sciences, Vol. 59, No. 6, 2005, pp. 259-264
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Case Report - Transphyseal spread of benign tumors and infections in pediatric patients: A series of six cases
Bagaria Vaibhav, Harshvardhna N.S., Desai M., Sonowane S.
Abstract
Epiphyseal extension of benign pathology is regarded as an infrequent occurrence. This observation has been attributed to anatomical and biochemical phenomenon unique to physeal cartilage. We report a retrospective series of six patients over a period of 4 years, diagnosed with benign pathologies that showed crossing of an open physeal plate by the disease. Four of these cases were infections and two were benign tumors. The patients were aged between 5 and 11 years, all of them were treated at a tertiary referral centre and followed up for a minimum period of 6 months to evaluate the progress of disease. The findings are more than just a pathological curiosity as they alter the management and surgical procedure that needs to be performed for these conditions. The recognition of the fact that benign tumors may occasionally present with transphyseal spread will prevent unjustified radical procedures that are best reserved for aggressive malignant conditions.
Keywords
Benign tumor, chondroblastoma, infection, multifocal osteomyelitis, transphyseal spread, tuberculosis
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© Copyright 2005 Indian Journal of Medical Sciences. Alternative site location: http://www.indianjmedsci.org/
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