{"title":"Solitary osteochondromas in paleo-oncology: A case report from 4th-century BCE Pontecagnano (southern Italy)","authors":"Giulia Riccomi , Giacomo Aringhieri , Antonia Serritella , Valentina Giuffra","doi":"10.1016/j.ijpp.2023.04.003","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><p>This study presents a new case of solitary osteochondroma (SOC) identified on the proximal tibia of a 4th-century BCE individual from Pontecagnano (Salerno, Italy) with an aim to contribute to differential diagnosis of bone tumors in archeological contexts.</p></div><div><h3>Materials</h3><p>Paleopathological assessment of a male individual with an estimated age-at death of 45.9–62.9 years brought to light during the archaeological excavations in the funerary sector of ‘Sica de Concillis’ within the necropolis of Pontecagnano.</p></div><div><h3>Methods</h3><p>Macroscopic and radiographic analyses were performed for diagnostic purposes.</p></div><div><h3>Results</h3><p>The proximal portion of the right tibia exhibited a large exophytic bone formation extending from the anteromedial to the posteromedial portion of the diaphysis. The x-ray confirmed the lesion being characterized by regular trabecular bone tissue with cortico-medullary continuity.</p></div><div><h3>Conclusions</h3><p>The lesion observed is diagnostic of sessile SOC, a neoplasm that must have had aesthetic and, possibly, neurovascular complications due to its large size.</p></div><div><h3>Significance</h3><p>By offering a detailed description of a case of tibial osteochondroma and discussing the possible complications the individual might have experienced during life, this study highlights the role and importance of benign bone tumors in paleo-oncology.</p></div><div><h3>Limitations</h3><p>Histological analysis was not carried out in order to preserve the integrity of the affected tibia.</p></div><div><h3>Suggestions for further research</h3><p>More attention should be devoted to benign tumors in paleopathology as their occurrence and manifestations in the past will lead to a better understanding of their impacts on the quality of life of affected individuals and to greater knowledge of their natural history.</p></div>","PeriodicalId":48817,"journal":{"name":"International Journal of Paleopathology","volume":"41 ","pages":"Pages 101-109"},"PeriodicalIF":1.3000,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Paleopathology","FirstCategoryId":"89","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1879981723000244","RegionNum":3,"RegionCategory":"地球科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"PALEONTOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
This study presents a new case of solitary osteochondroma (SOC) identified on the proximal tibia of a 4th-century BCE individual from Pontecagnano (Salerno, Italy) with an aim to contribute to differential diagnosis of bone tumors in archeological contexts.
Materials
Paleopathological assessment of a male individual with an estimated age-at death of 45.9–62.9 years brought to light during the archaeological excavations in the funerary sector of ‘Sica de Concillis’ within the necropolis of Pontecagnano.
Methods
Macroscopic and radiographic analyses were performed for diagnostic purposes.
Results
The proximal portion of the right tibia exhibited a large exophytic bone formation extending from the anteromedial to the posteromedial portion of the diaphysis. The x-ray confirmed the lesion being characterized by regular trabecular bone tissue with cortico-medullary continuity.
Conclusions
The lesion observed is diagnostic of sessile SOC, a neoplasm that must have had aesthetic and, possibly, neurovascular complications due to its large size.
Significance
By offering a detailed description of a case of tibial osteochondroma and discussing the possible complications the individual might have experienced during life, this study highlights the role and importance of benign bone tumors in paleo-oncology.
Limitations
Histological analysis was not carried out in order to preserve the integrity of the affected tibia.
Suggestions for further research
More attention should be devoted to benign tumors in paleopathology as their occurrence and manifestations in the past will lead to a better understanding of their impacts on the quality of life of affected individuals and to greater knowledge of their natural history.
期刊介绍：
Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
