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Is Ollier's disease an understaging of Maffucci's syndrome?

Published online by Cambridge University Press:  29 June 2007

S. K. Ahmed
Affiliation:
Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham, UK.
W. C. Lee
Affiliation:
Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.
R. M. Irving*
Affiliation:
Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.
A. R. Walsh
Affiliation:
Department of Neurosurgery, Queen Elizabeth Hospital, Birmingham, UK.
*
Address for correspondence: Mr R. M. Irving, Department of Otolaryngology, Queen Elizabeth Hospital, Birmingham B15 2TH.

Abstract

Ollier's disease and Maffucci's syndrome are similar multiple enchondromatous conditions. Other co-existing pathologies, particularly other primary malignancies, have been described sporadically in both conditions but more so in Maffucci's syndrome. Maffucci's syndrome is distinguished from Ollier's disease by the presence of haemangiomas in the former. In this report, a patient believed to have Ollier's disease for 44 years was subsequently found to have large splenic haemangiomas on magnetic resonance imaging (MRI). In the light of this, we recommend that any patient diagnosed with Ollier's disease to have total body MRI to search for haemangiomas that will alter the diagnosis to Maffucci's syndrome and hence the prognosis. MRI also screens for the presence of other associated malignancies.

Type
Radiology in focus
Copyright
Copyright © JLO (1984) Limited 1999

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References

Braddock, G. T. F., Hadlow, V. D. (1966) Osteosarcoma in enchondromatosis (Ollier's disease). Journal of Bone and Joint Surgery [B] 48: 145149.Google ScholarPubMed
Cowan, W. K. (1965) Malignant change and multiple metastases in Ollier's disease. Journal of Clinical Pathology 18: 650653.CrossRefGoogle ScholarPubMed
Gay, E., Sekhar, L. N., Rubinstein, E., Wright, D. C., Sen, C., Janecka, I. P., Snyderman, C. H. (1995) Chordomas and chondrosarcomas of the cranial base: results and follow up of 60 patients. Neurosurgery 36(5): 887897.CrossRefGoogle ScholarPubMed
Huvos, A. G. (1979) Bone tumours. W. B. Saunders Co., New York, pp 162170.Google Scholar
Hyde, G. E., Yarington, C. T., Chu, F. W. K. (1995) Head and neck manifestations of Maffucci's syndrome: Chondrosarcoma of the nasal septum. American Journal of Otolaryngology 16: 272275.CrossRefGoogle ScholarPubMed
Laskaris, G., Skouteris, C. (1984) Maffucci's syndrome. Report of a case with oral haemangiomas. Oral Surgery 57: 263266.CrossRefGoogle Scholar
Lewis, R. J., Ketchum, A. S. (1973) Maffucci's syndrome: functional and neoplastic significance. Journal of Bone and Joint Surgery [A] 55: 14651479.CrossRefGoogle ScholarPubMed
Loewinger, R. J., Lichtenstein, J. R., Dodson, W. E., Eisen, A. Z. (1977) Maffucci's syndrome: a mesenchymal dysplasia and multiple tumour syndrome. British Journal of Dermatology 96: 317322.CrossRefGoogle Scholar
Lowell, S. H., Mathog, R. H. (1979) Head and neck manifestations of Maffucci's syndrome. Archives of Otolaryngology 105: 427430.CrossRefGoogle ScholarPubMed
Mellon, C. D., Carter, J. E., Owen, D. B. (1988) Ollier's disease and Maffucci's syndrome: distinct entities or a continuum. Case report: enchondromatosis complicated by an intracranial glioma. Journal of Neurology 235: 376378.CrossRefGoogle ScholarPubMed
Miki, K., Kawamoto, K., Kawamura, Y., Matsumura, H., Asada, Y., Hamada, A. (1987) A rare case of Maffucci's syndrome combined with tuberculum sellae enchondroma, pituitary adenoma and thyroid adenoma. Acta Neurochirurgica 87: 7985.CrossRefGoogle ScholarPubMed
Pellegrini, A. E., Drake, R. D., Qualman, S. J. (1995) Spindle cell haemangioendothelioma: a neoplasm associated with Maffucci's syndrome. Journal of Cutaneous Pathology 22: 173176.CrossRefGoogle ScholarPubMed
Pfleiderer, A. G., Thomson, P., Milroy, C. M. (1991) View from beneath: Pathology in focus - ENT presentation of Ollier's disease. Journal of Laryngology and Otology 105: 148150.CrossRefGoogle ScholarPubMed
Reuter, K., Weber, A. L. (1981) Parasellar chondrosarcoma in a patient with Ollier's disease. Neuroradiology 22: 151154.CrossRefGoogle Scholar
Sarwar, M., Leonard, S. E., Mannie, S. M. (1976) Intracranial chondromas. American Journal of Roentgenology 127: 973977.CrossRefGoogle ScholarPubMed
Schwartz, H. S., Zimmerman, N. B., Simon, M. A., Wroble, R. R., Millar, E. A., Bonfiglio, M. (1987) The malignant potential of enchondromatosis. Journal of Bone and Joint Surgery [A] 69: 269274.CrossRefGoogle ScholarPubMed
Stapleton, S. R., Wilkins, P. R., Archer, D. J., Uttley, D. (1993) Chondrosarcoma of the skull base: A series of eight cases. Neurosurgery 32: 348353.CrossRefGoogle ScholarPubMed
Tamimi, H. K., Bolen, J. W. (1984) Enchondromatosis (Ollier's disease) and ovarian juvenile granulosa cell tumour. A case report and review of the literature. Cancer 53: 16051608.3.0.CO;2-N>CrossRefGoogle Scholar