Bizarre Parosteal Osteochondromatous Proliferation With Malignant Transformation and Metastases.

Ulrich, Gary; Wood, Robert; Pearson, Jacob; Jiganti, Max; Tedesco, Nicholas · Orthopedics · 2024

case_report · Level V

Where this comes from

Abstract

A patient with a benign bizarre parosteal osteochondromatous proliferation (BPOP) located in the anterior knee was treated with resection in preparation for total knee arthroplasty (TKA). The BPOP reoccurred and was treated with re-resection at the time of TKA. The BPOP reoccurred a second time and underwent malignant transformation to a fungating high-grade pleomorphic sarcoma with metastatic lesions. This case highlights the rare potential of a previously benign BPOP to undergo malignant transformation after recurrence. A wide margin resection may be considered primarily when surgery is indicated to prevent recurrence and its potential sequelae. [<i>Orthopedics</i>. 2024;47(6):e322-e326.].

Medical subject headings

Anatomy