Periosteal Osteosarcoma: A Review of 17 Cases with Mean Follow-up of 52 Months.
OBJECTIVE
Periosteal osteosarcomas are rare cartilage-rich bone tumours characterized by a juxtacortical eccentric position and are normally regarded oncologically as of intermediate to high grade.Their low incidence is mirrored by a small number of reported cases in the world literature. While there is general agreement that wide surgical excision is required, there is a paucity of evidence regarding adjuvant therapy. Previous reports have not indicated any consistent approach to this to allow appraisal.


METHODS
We report 17 cases treated at our centre over 16 years. Our policy was to use chemotherapy when the tumour showed any features of high grade.


RESULTS
To date, no deaths have resulted from recurrence or metastasis of the tumour although there have been two deaths from other causes.


CONCLUSIONS
Comparison of survival with existing studies is made to draw conclusions regarding future treatment of this condition in terms of surgical and adjuvant approaches.
The Royal Orthopaedic Hospital Oncology Service Bristol Road South Northfield Birmingham B31 2AP UK.
Matthew P
MP
Revell
Neeta
N
Deshmukh
Robert J
RJ
Grimer
Simon R
SR
Carter
Roger M
RM
Tillman