Chondrolipoma of the knee in a child: A Case Report

• vaishali sharad bhonsle,  
• Pervaiz Ahmed Khan,*  
• Nakul yogesh Sampat,  
• pradeep chekuri,  
• Karan Raj Sisodia

Abstract

Background: Chondrolipoma is a rare benign mesenchymal tumor characterized by the presence of cartilage and mature adipose tissue. Typically affecting adults in regions like the buccal and breast, chondrolipomas in pediatric patients are exceedingly uncommon. This case presents a unique instance of a 15-year-old boy diagnosed with a chondrolipoma in his knee joint, marking the first reported case of such a tumor in a child's knee. Given the rarity of this presentation and the absence of similar reports in the literature, this case report holds significant clinical importance. Case Presentation: The patient, a 15-year-old boy, presented with a benign tumor in his knee joint, a location not previously associated with chondrolipomas. The decision to forego further follow-up testing was made based on the benign nature of the tumor and the absence of immediate clinical concerns. The patient was discharged with instructions for monitoring and to report any signs of recurrence. This case highlights the atypical manifestation of chondrolipoma in a pediatric knee, emphasizing the need for vigilance in diagnosing uncommon benign lesions in younger patients. Conclusion: Reporting the second documented case of a chondrolipoma in a child's knee underscores the diagnostic challenges posed by rare tumors with non-typical presentations. The difficulty in diagnosing such lesions based solely on radiological findings is highlighted, emphasizing the importance of histological examination for accurate diagnosis. While acknowledging the limited follow-up period at the time of publication, this case report aims to raise awareness among clinicians regarding the potential occurrence of chondrolipomas in pediatric populations. By shedding light on this unusual diagnosis, this report contributes to the broader understanding of benign mesenchymal tumors and underscores the significance of considering rare entities in the differential diagnosis of pediatric joint tumors.

Keywords

Knee, cartilage, child, chondrolipoma ,magnetic resonance imaging.