title: Chondrosarcoma of the hand: is a wide surgical resection necessary?
abstract: 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.
authors.affiliation: Department of Orthopaedics, University of Vienna, Waehringer Guertel 18-20, A-1090 Vienna, Austria. mittermayer@orthopaedie-zentrum.at
authors.forename: Florian
authors.initials: F
authors.lastname: Mittermayer
authors.forename: Martin
authors.initials: M
authors.lastname: Dominkus
authors.forename: Petra
authors.initials: P
authors.lastname: Krepler
authors.forename: Eva
authors.initials: E
authors.lastname: Schwameis
authors.forename: Maria
authors.initials: M
authors.lastname: Sluga
authors.forename: Cyril
authors.initials: C
authors.lastname: Toma
authors.forename: Susanna
authors.initials: S
authors.lastname: Lang
authors.forename: Stephan
authors.initials: S
authors.lastname: Grampp
authors.forename: Rainer
authors.initials: R
authors.lastname: Kotz
mesh_terms: 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