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Bone chondrosarcomas: clinical features and surgical outcomes in five years
Rogelio Esparza-Romero, Edgar Joaquín Cortés-Torres, David García-Martínez
1Instituto Mexicano del Seguro Social, Centro Médico Nacional de Occidente, Hospital de Especialidades, Unidad de Investigación Biomédica 02. Guadalajara, Jalisco, México
Background:
Biological and clinical behavior of chondrosarcoma, and its prognosis, are broadly related to histological grade, location and treatment. Surgery plays the most important role in local control and preservation of the limb. Given its low incidence, there are few cancer surgical centers in our country that report their experience concerning the treatment of this pathology.
Objective:
To describe the management, clinical features, and outcomes of surgical treatment in patients diagnosed with bone chondrosarcoma.
Methods:
Descriptive study which included 25 patients diagnosed with bone chondrosarcoma who received surgical treatment. We assessed their clinical features, localization, stage, treatment and surgical outcomes.
Results:
Mean age was 43.4 ± 14.7 years and the most frequently affected site was the pelvis (44%). The most frequently performed surgery was wide resection and immediate reconstruction with implants in 10 patients (40%). Local recurrence was observed in six patients (24%). During follow up, two patients died from metastatic disease (8%).
Conclusions:
Due to the characteristics of chondrosarcoma, the treatment is multidisciplinary. Local surgery plays the most important role in control, limb preservation and function.
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