Introduction: The majority of scapular tumors have a cartilaginous origin, being the osteochondroma the most frequent. In this article we will review the main characteristics of the osteochondroma and another rare tumor, the periosteal chondroma, a benign bone tumor that arises from the deep layers of the periosteum from which there are not much cases published.
Presentation of Case:We present an unusual case of a periosteal chondroma located in the scapular spine in a 25-year-old women. The first impression given by diagnostic imaging studies was a parosteal growth tumor, however given the rarity of these tumors; it was initially diagnosed as osteochondroma. Being a symptomatic tumor, complete excision with safety margins was performed. After histological examination of the tissue, it was finally diagnosed as periosteal chondroma.Results: There were no postoperative complications. After 6 months follow up, the clinical results are positive, being the patient free of disease with complete recovery and a normal function of the scapulohumeral joint with full range of motion. To date there is absence of tumor recurrence.
Discussion:The definitive diagnosis of chondral type tumors is difficult to establish, requiring the combination of clinical, radiological imaging and histopathology of the lesion. The recognition of these features enables a correct diagnosis to be made.
Conclusion:Periosteal chondromas are very rare tumors from which there are very few cases reported in the literature. It is important to know well its characteristics and be careful when analysing these lesions.