Cartilage tumors: evaluation and treatment.
The proper treatment of cartilaginous tumors is dependent on the clinicopathologic and radiologic findings. Enchondroma is a benign tumor that is usually asymptomatic and thus should be treated nonoperatively. Symptomatic enchondromas are often treated by intralesional excision. Intramedullary low-grade chondrosarcoma is a malignant tumor that is usually painful. The treatment of low-grade chondrosarcoma may range from intralesional excision with or without adjuvant therapy to wide excision. Although intralesional excisions have a higher bone and joint preservation rate than wide excisions, they may be associated with a higher local recurrence rate. Intermediate- and high-grade chondrosarcomas are treated with wide excisions. The treatment of these cartilaginous lesions should involve a multidisciplinary team including a musculoskeletal surgeon, a radiologist, and a pathologist.
Marco
R A
RA
M.D. Anderson Cancer Center, Houston, USA.
Gitelis
S
S
Brebach
G T
GT
Healey
J H
JH
D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D002356:Cartilage / Q000473:pathology; D002812:Chondroma / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D002813:Chondrosarcoma / Q000175:diagnosis / Q000601:surgery / Q000628:therapy; D006801:Humans; D009367:Neoplasm Staging