Chondrosarcomas of the small bones: analysis of 44 patients

Lesenský, Jan; Matéjovský, Z; Včelák, Josef; Ošťádal, Martin; Hósová, Marta; Bavelou, Cathy; Sioutis, Spyridon; Bekos, Achilles; Mavrogenis, Andreas F.

doi:10.1007/s00590-021-02964-8

Cited by 2 publications

(2 citation statements)

References 15 publications

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“…High-grade bone chondrosarcoma of the hand is best treated surgically with wide en bloc excision or ray amputation to gain adequate tumor clearance and avoid the risk of local recurrence or metastasis (4,5,7,10).…”

Section: Discussionmentioning

confidence: 99%

High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare Entity

Pagnotta¹,

Formica²,

Taccogna³

et al. 2023

Acta Chir. orthop. Traum. Cech.

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Chondrosarcoma of the hand is a rare disease, but is one of the more common malignancies of the hand. Biopsies and imaging are a fundamental step in determining correct diagnosis, grading and selection for best treatment.We describe the case of a 77-year-old male complaining of a painless swelling in the proximal phalanx of the third ray of left hand. A biopsy was performed and the histology revealed a G2 chondrosarcoma. The patient underwent III ray amputation with metacarpal bone disarticulation and sacrifice of the radial digit nerve of the fourth ray. Definitive histology revealed grade 3 CS. Eighteen months after surgery, the patient is apparently disease-free with a good functional and aesthetic outcome although with persistent paresthesia of the fourth ray.Although there is no agreement in the literature for the treatment of low-grade chondrosarcomas, wide resection or amputation can be considered the mainstay treatment for high-grade tumors.

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Section: Discussionmentioning

confidence: 99%

High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare Entity

Pagnotta¹,

Formica²,

Taccogna³

et al. 2023

Acta Chir. orthop. Traum. Cech.

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“…Chen et al [ 3 ] showed that intracapsular curettage was a safe and functional method for treating central primary grade I chondrosarcoma. Lesenský et al [ 35 ] concluded that curettage is the treatment of choice for ACT/Grade I tumours; however, surgeons should be aware of the potentially high local recurrence and recurrence rates. Resection is recommended for Grade II and Grade III chondrosarcomas.…”

Section: Discussionmentioning

confidence: 99%

Chondrosarcoma of the toe: A case report and literature review

Zhou¹,

Zhang²,

Dong³

et al. 2022

WJCC

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BACKGROUND Chondrosarcoma of the foot is a rare malignant bone tumour, and it is even rarer when it originates in a toe bone. Surgical excision is the only effective treatment. The osteolytic destruction of the tumour severely affects limb function and carries the risk of distant metastasis. Most such tumours are removed surgically to minimize local recurrence and distant metastases, maximize limb function, and prolong the patient's tumour-free survival time. The main objective of this article is to present the case of a chondrosarcoma that invaded the first phalanx of the left foot and formed a large phalangeal mass with osteolytic destruction of the distal bone. CASE SUMMARY A 74-year-old man suffered from swelling of his left toe for six months, with pain and swelling for two months. Computed tomography and magnetic resonance imaging showed that the tumour on the first phalanx of the left foot was approximately 54.9 mm × 44.6 mm, surrounded by a significant soft tissue signal mass, with osteolytic destruction of the distal phalanx and a speckled bone-like high-density shadow within it. CONCLUSION Chondrosarcoma occurring in a toe bone is extremely rare. In this case, extensive surgical resection of the large low-grade chondrosarcoma, which showed osteolytic destruction and invaded the distal metatarsal bone, was safe and effective.

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Chondrosarcomas of the small bones: analysis of 44 patients

Cited by 2 publications

References 15 publications

High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare Entity

High-Grade Chondrosarcoma of the Proximal Phalanx: an Unusual Case of a Rare Entity

Chondrosarcoma of the toe: A case report and literature review

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