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Woltsche, JN; Smolle, MA; Szolar, D; Bergovec, M; Leithner, A.
Prevalence and characteristics of benign cartilaginous tumours of the knee joint as identified on MRI scans.
Cancer Imaging. 2023; 23(1): 50
Doi: 10.1186/s40644-023-00572-9
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- Führende Autor*innen der Med Uni Graz
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Smolle Maria Anna
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Woltsche Johannes Nikolaus
- Co-Autor*innen der Med Uni Graz
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Bergovec Marko
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Leithner Andreas
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- Abstract:
- BACKGROUND: Enchondromas (EC) and atypical cartilaginous tumours (ACT) of the knee joint represent benign/intermediate chondromatous neoplasms of the bone that are most commonly discovered incidentally. Based on small to intermediate-sized cohorts, the prevalence of cartilaginous tumours of the knee as visible in MRI is estimated at 0.2-2.9%. This study aimed at verifying/challenging these numbers via retrospective examination of a larger, uniform patient cohort. METHODS: Between 01.01.2007 and 01.03.2020, 44,762 patients had received an MRI of the knee for any indication at a radiologic centre. Of these, 697 patients presented with MRI reports positive for cartilaginous lesions. In a three-step workflow, 46 patients were excluded by a trained co-author, a radiologist and an orthopaedic oncologist, as wrongly being diagnosed for a cartilage tumour. RESULTS: Of 44,762 patients, 651 presented with at least one EC/ACT indicating a prevalence of 1.45% for benign/intermediate cartilaginous tumours of the knee joint (EC: 1.4%; ACTs: 0.05%). As 21 patients showed 2 chondromatous lesions, altogether 672 tumours (650 ECs [96.7%] and 22 ACTs [3.3%]) could be analysed in terms of tumour characteristics: With a mean size of 1.6 ± 1.1 cm, most lesions were located in the distal femur (72.9%), in the metaphysis of the respective bone (58.9%) and centrally in the medullary canal (57.4%). CONCLUSIONS: This study revealed an overall prevalence of 1.45% for cartilage lesions around the knee joint. Whilst a constant increase in prevalence was found for ECs over 13.2 years, prevalence remained constant for ACTs.
- Find related publications in this database (Keywords)
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Enchondroma
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Atypical cartilaginous tumour
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Prevalence
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Knee joint
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MRI