For an appointment call:
833-292-BONE (2663)

 

dr james c wittig, orthopedic oncologist, new york, new jersey
About Dr. Wittig
Periosteal Chondroma

General Information

  • Benign neoplasm
  • Composed of mature hyaline cartilage
  • Arises from surface of bone from inner layer of periosteum
  • Erodes the outer table of the cortex
  • Does not grossly extend into medullary cavity
  • Also known as juxtacortical chondroma
  • More cellular than an enchondroma

Clinical Presentation

Signs/Symptoms:

  • Incidental radiographic findings
  • Possible symptomatic mass
    • Mildly painful
    • Long duration of symptoms
    • Mechanical symptoms

Prevalence:

  • Very uncommon
    • Accounts for ~0.66% of bone tumors
    • 3 times as common as juxtacortical chondrosarcoma
  • 2 to 1 male predilection

Age:

  • All ages; usually <30 years
  • Most commonly in second or third decades of life

Sites:

  • Almost all in appendicular skeleton
    • Proximal humerus-Most common
    • Femur, tibia, phalanges are common sites
    • Pelvis, ribs, vertebrae less common
  • Occasionally multiple lesions occur
  • Difficult to differentiate from periosteal chondrosarcoma (periosteal chondrosarcomas are usually
  • greater than 6cm and periosteal chondromas are usually less than 6 cm)

Radiographic Presentation

Roll over the images for more information
Radiographic presentation, Periosteal Chondroma CT Scan: Periosteal Chondroma
CT Scan: Periosteal Chondroma X-ray: Distal Femur Periosteal Chondroma

Gross Pathology

  • Well circumscribed
  • Appears to be embedded in underlying cortical bone
  • Typically covered by a thin shell of reactive, often ossified periosteum
  • Medullary cavity not grossly invaded
  • Cross-section
    • Blue-gray to white
    • Translucent hyaline cartilage
      • Often formed as lobules
    • Calcification occasionally noticeable
      • Yellow-white, gritty foci

Microscopic Pathology

  • Lobulated, obviously hyaline cartilage tumor
    • Cartilaginous lobules separated by fibrous connective tissue or well-formed lamellar bone
      • Calcium deposition occasionally present
    • Necrosis absent
  • Innermost margin of lesion usually demarcated by rim of lamellar bone
  • Considerable interlesional variation in cellularity and pleomorphism
    • Many consist of normocellular benign hyaline cartilage
    • Binucleated chondrocytes are invariably present
    • May be more cellular than an enchondroma with myxoid change of matrix
  • About 2/3 of tumors display
    • Nuclear enlargement
    • Hypercellularity with hyperchromasia
    • Or myxoid change of the matrix
Roll over the images for more information
Microscopic Pathology: Periosteal Chondroma

Biological Behavior

  • No metastasis
  • No malignant change
  • Exceedingly rare recurrence
  • Non aggressive

Treatment & Prognosis

  • Marginal excision without removal of surrounding tissue
    • Occasional rare recurrence
  • En bloc excision
    • Invariable curative

Office Locations

Morristown Medical Center
Carol G. Simon Cancer Center
100 Madison Avenue
2nd Floor
Morristown, NJ 07960
Phone:  833-292-BONE (2663)
Fax:  973-898-1636
Email:  drjameswittig@gmail.com

Get Directions >>

Services & Specialties

Pediatric and Adult Bone Sarcomas
Soft Tissue Sarcomas
Benign Bone Tumors
Benign Soft Tissue Tumors
Childhood Sarcomas
Shoulder Tumors
Cryosurgery
Radiofrequency Ablation
Special Surgeries
Diagnosis and Treatment



Ask The Doctor

Testimonials
"Thank you from the bottom of my heart for your excellent care...I wish you a very long and productive professional life so that more people can benefit from your expertise, so that more people can get a second chance to live their lives to the fullest."

Irina B.
"I am writing to you to thank you for everything you and your team have done for me. I cannot tell you how fortunate I feel that I am in your care. It gives me the peace of mind that I have you as my doctor.  Your knowledge and expertise is greatly appreciated. You truly are the best!  Thank you!"

-Sincerely,
JG
Dear Dr. Wittig,
I am writing at a loss to find adequate words to thank you for all that you have done for me.  You were so generous to give up your time on a weekend to operate on my femur.  I believe that this made a vast difference in my life.  Your skills as a diagnostician and surgeon have given me an opportunity to have a better life.  At a time like this, it is comforting to be treated with kindness and skill.  Thank you for sharing your gifts with me.
Dear Dr. Wittig,
I'm so thrilled with your diagnosis, and thankful too!  If you're ever in S. Orange and would like to visit "The Gate" for a pint, I'd be happy to personally escort you.  You'll get the VIP treatment.  Thank you so very much for your attention and professionalism.
Dear Dr. Wittig,
I can't thank you, and your team enough for making our son, who recently underwent surgery (removing a tumor on his pelvis), feel so comfortable and at ease.  As did you, with my family, addressing all our questions, and concerns.  We knew he as in the best possible hands.  You are a wonderful, compassionate Doctor....We are so grateful to have such a gifted Dr. taking care of him.
Sincerely,
Sandy
Dear Dr. Wittig,

Thank-you so very much for being my surgeon for that chondrosarcoma, for saving my life!  And I have learned over the months (from other doctors...) that I was very fortunate to have you as a surgeon.

I think that I should have been more cheerful and clear upon receiving the good news from you during the visit on Wednesday.--I was just that I've been so anxious, worried, tense, confused from 6 months of various treatments -- prostate 45 day radiation, gall stone passing, kidney stone matters that have been happening these past months.

In driving home after the news today, I've begun feeling increasingly released, cheerful...able at long last to get on fully with my life.

You, your staff, that hospital...have set the bar for health care so much higher than I could have imagined.

With Deepest Gratitude!

Robert
Good evening Dr. Wittig,

I hope you are doing well this evening and hope you have a restful weekend with your family.  It was a pleasure meeting you in person. After meeting you, I can understand why you and Sheeraz are close friends and colleagues, especially how highly Sheeraz spoke of you!  You are kind and down to earth.  Also, you and Sheeraz are not only amazing and talented doctors, but you are compassionate and empathetic to the needs of your patients and families, which often lacks in the world of medicine.  I wanted to be a doctor, but I really can't deal with the sight of blood, like I mentioned to Sheeraz.  Both of you are great role models how family centered care should be and how I strive  and want to be with my little patients at Sloan. 

I appreciate everything you have done for my Uncle. I am grateful to Sheeraz for recommending you! I hope you and your family are always happy and healthy, so you can continue to great things to impact the quality of life of others...

Thanks so much again for everything NYU familia! 

Kind Regards,
Mariyam 
On May 10th I had the pleasure of meeting Dr. Wittig for the first time.  This was an extremely stressful time for me since I had received several reports regarding my cancer diagnosis.  Upon meeting Dr, Wittig I immediately knew I was in good hands.  His calm demeanor & straightforward manner were very comforting to me.  He laid out how he was going to proceed with the operation, how long it would take, & followup.  He has been a source of comfort to me thru out this ordeal & I know I could not be in a better place with him.  His support staff of nurses, is top notch.  Their attention to detail, answering questions we may have, are always done in a timely manner.  Without the ease of working with Dr. James Wittig, I can tell you. I would not feel as confident with my situation as I do.  He is truly a very special human being.   Sincerely,   Karolyn
"Thank you for helping me through the toughest time in my life!"

- Eric P.
"I can't thank you enough for everything you've done for me!"

- Kyle B.
"Unbelievable! Thank you!"

-Amanda S.

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