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  • Title: Maffucci's syndrome combined with dedifferentiated chondrosarcoma.
    Author: Tsuchiya H, Tomita K, Yasutake H, Takagi Y, Ueda Y, Kadoya M.
    Journal: Arch Orthop Trauma Surg; 1991; 110(5):269-72. PubMed ID: 1931371.
    Abstract:
    We report a rare case of Maffucci's syndrome combined with dedifferentiated chondrosarcoma in the right shoulder girdle developing from pre-existing enchondroma. In this case, magnetic resonance imaging was useful in diagnosing dedifferentiated chondrosarcoma before surgery. T2-weighted imaging was used to distinguish between the cartilaginous component and the dedifferentiated one. Histologically, there was enchondroma in the humerus and grade 2 chondrosarcoma in the scapula. Further, the dedifferentiated tumor had three mesenchymal elements: osteosarcoma, malignant fibrous histiocytoma, and fibrosarcoma. This histological heterogenicity may be due to mesodermal dysplasia of Maffucci's syndrome.
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