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<p class="ql-align-justify">The sections show a surface-based, triphasic lesion composed of disorganized cartilage, irregular bone, and a proliferative spindle-cell stroma. The cartilaginous component is hypercellular, containing haphazardly arranged chondrocytes with mild nuclear enlargement and occasional binucleated forms. Blue bone matrix is noted characterized by a smudgy, basophilic mineralized appearance is present at the interface of ossification. The bony trabeculae are irregular and lack the organized lamellar structure or hematopoietic marrow characteristic of a mature osteochondroma. The intervening spindle-cell stroma is cellular but lacks significant cytological atypia or atypical mitotic figures. No evidence of malignancy in submitted material.</p>
<p>Index mass.</p>
<p class="ql-align-justify">None fragments collectively measured 1.5x1x0.6 cm, totally embedded.</p>
<p><strong><em><u>Index mass, excision:</u></em></strong></p><ul><li><strong>Bizarre parosteal osteochondromatous proliferation (Nora’s lesion).</strong></li><li><strong>No evidence of malignancy. </strong></li></ul>
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