Relationship between surgical procedure and outcome for patients with grade I chondrosarcomas

Authors

  • Maurício Etchebehere University of São Paulo; Institute of Orthopaedics and Traumatology; Division of Orthopaedic Oncology
  • Olavo Pires de Camargo University of São Paulo; Institute of Orthopaedics and Traumatology; Division of Orthopaedic Oncology
  • Alberto Tesconi Croci University of São Paulo; Institute of Orthopaedics and Traumatology; Division of Orthopaedic Oncology
  • Claudia Regina C. M. Oliveira University of São Paulo; Institute of Orthopaedics and Traumatology; Division of Orthopaedic Oncology
  • André Mathias Baptista University of São Paulo; Institute of Orthopaedics and Traumatology; Division of Orthopaedic Oncology

DOI:

https://doi.org/10.1590/S1807-59322005000200007

Keywords:

Chondrosarcoma, Treatment outcome, Curettage

Abstract

PURPOSE: To evaluate the oncological outcome of patients with grade I chondrosarcomas according to the type of surgical treatment performed, since there is still controversy regarding the need for aggressive resections to reach a successful outcome. MATERIALS AND METHODS: The records of 23 patients with grade I chondrosarcomas were reviewed. The mean age was 38.4 years, ranging from 11 to 70 years; 52% were men and 48% were women. The femur was the site of 13 tumors. The tumors were staged as IA (17, 74%) and IB (6, 26%). Regarding tumor location, 74% (17) were medullary, 22% (5) were peripheral, and 4% (1) was indeterminate. Tumor size ranged from 2 to 25 cm, mean 7.9 cm. Regarding the surgical procedure, 11 patients underwent intralesional resection, 9 patients underwent wide resection, and 3 underwent radical resection. The follow-up period ranged from 24 to 192 months. RESULTS: None of the patients developed local recurrence or metastases; 7 patients had other general complications. CONCLUSIONS: This data supports the use of less aggressive procedures for treatment of low-grade chondrosarcomas.

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Published

2005-04-01

Issue

Section

Original Research

How to Cite

Relationship between surgical procedure and outcome for patients with grade I chondrosarcomas . (2005). Clinics, 60(2), 121-126. https://doi.org/10.1590/S1807-59322005000200007