title: Is it ever safe to discharge a chondrosarcoma of pelvis? Report of a local recurrence after 10 years.
abstract: Late local recurrence is rare in conventional pelvic chondrosarcoma. Adequacy of surgical margins is an important factor of disease control and majority of local recurrences occur within 5 years of surgery. We present a case of a 43-year-old female who underwent a PII/III resection of a Grade 1 to 2 chondrosarcoma and was discharged from routine follow-up after a 10-year disease-free interval. Thirteen years after the initial excision, she re-presented with a large local recurrence requiring a hindquarter amputation. Local recurrence more than 10 years after the index operation is uncommon in pelvic chondrosarcoma. The cases mentioned in previous studies lack documentation making recommendations on the subject difficult. Routine post-operative cross-sectional imaging is essential in pelvic chondrosarcoma even when tumour-free margins are achieved as there is no adequate adjuvant therapy to deal with microscopic disease.
authors.affiliation: Oncology Service, Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham, B31 2AP, UK, louie.gaston@nhs.net.
authors.forename: Czar Louie L
authors.initials: CL
authors.lastname: Gaston
authors.forename: Vaiyapuri P
authors.initials: VP
authors.lastname: Sumathi
authors.forename: Robert J
authors.initials: RJ
authors.lastname: Grimer
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging* / Q000601:surgery; D002813:Chondrosarcoma / Q000000981:diagnostic imaging* / Q000601:surgery; D003266:Continuity of Patient Care; D005260:Female; D006428:Hemipelvectomy; D006801:Humans; D007512:Ischium; D009364:Neoplasm Recurrence, Local / Q000000981:diagnostic imaging* / Q000601:surgery; D010351:Patient Discharge; D010388:Pelvis; D012086:Reoperation; D013997:Time Factors