“…Most reports of extremity LCS found low rates of local recurrence even when intralesional curettage was performed ranging from 0 to 18% [7,12,[15][16][17][18][19], but rates were always higher when compared to wide resection of the tumour [7,16,18,19]. Considerations that further strengthen the rationale for limited surgery were a better functional outcome and the fact that, given appropriate approaches, subsequent treatment in extremities is not necessarily compromised by curettage [16,18]. The role of local recurrence and its impact on survival, however, is critical, because local recurrence might be interpreted as an aggressive phenotype of LCS [23] and therefore can dedifferentiate into higher grade lesions with metastatic potential [7].…”