Chondrosarcoma of the hand: is a wide surgical resection necessary?
Chondrosarcomas of the hand are rare and generally treated with surgical resection. Thirteen patients with Grade 1 chondrosarcoma of the small bones of the hand were followed up for a mean of 99.8 months (range, 26-293 months). In eight patients (Group 1) curettage and reconstruction with cancellous bone was done and in five patients (Group 2) a wide resection was done. No patient experienced relapse in Group 2. In Group 1 one patient had a local relapse 18 months after intralesional resection. Using the Musculoskeletal Tumor Society score for evaluation, the clinical results showed an average of 98% and 95% of the normal function in Groups 1 and 2, respectively. None of the patients had evidence of systemic spread of the disease. With a relapse rate of 12.5% and no distant metastases after curettage, intralesional resection is the preferred method of treatment in Grade 1 chondrosarcoma of the hand, allowing the patient to avoid amputation and major loss of function.
Mittermayer
Florian
F
Department of Orthopaedics, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. mittermayer@orthopaedie-zentrum.at
Dominkus
Martin
M
Krepler
Petra
P
Schwameis
Eva
E
Sluga
Maria
M
Toma
Cyril
C
Lang
Susanna
S
Grampp
Stephan
S
Kotz
Rainer
R
D000293:Adolescent; D000328:Adult; D000368:Aged; D001859:Bone Neoplasms / Q000601:surgery*; D002813:Chondrosarcoma / Q000601:surgery*; D005260:Female; D006225:Hand / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged