Surgical treatment and outcome of conventional pelvic chondrosarcoma

J Bone Joint Surg Br. 2005 Nov;87(11):1527-30. doi: 10.1302/0301-620X.87B11.16621.

Abstract

We reviewed 124 patients with a conventional pelvic chondrosarcoma who had been treated over a period of 20 years. We recorded the type of tumour (central or peripheral), type of operation (limb salvage surgery or hemipelvectomy), the grade of tumour, local recurrence and/or metastases, in order to identify the factors which might influence survival. More satisfactory surgical margins were achieved for central tumours or in those patients treated by hemipelvectomy. However, grade 1 tumours, whatever the course, did not develop metastases or cause death, while grade 3 tumours had the worst outcome and prognosis. Central, high-grade tumours require aggressive surgical treatment in order to achieve adequate surgical margins, particularly in those lesions located close to the sacroiliac joint. By contrast, grade 1 peripheral chondrosarcomas may be treated with contaminated margins in order to reduce operative morbidity, but without reducing survival.

Publication types

  • Evaluation Study

MeSH terms

  • Bone Neoplasms / pathology
  • Bone Neoplasms / surgery*
  • Chondrosarcoma / pathology
  • Chondrosarcoma / secondary
  • Chondrosarcoma / surgery*
  • Disease Progression
  • Follow-Up Studies
  • Humans
  • Limb Salvage
  • Neoplasm Recurrence, Local
  • Pelvic Bones*
  • Prognosis
  • Survival Analysis
  • Treatment Outcome