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Journal of Bone and Joint Surgery - British Volume, Vol 87-B, Issue 11,
1527-1530.
doi: 10.1302/0301-620X.87B11.16621 Copyright © 2005 by British Editorial Society of Bone and Joint Surgery Surgical treatment and outcome of conventional pelvic chondrosarcomaD. Donati, MD, Consultant1; A. El Ghoneimy, MD, Research Fellow2; F. Bertoni, MD, Professor1; C. Di Bella, MD1; and M. Mercuri, MD, Professor Orthopaedic Division1
1 Department of Pathology Correspondence should be sent to Dr D. Donati; e-mail: davide.donati{at}ior.it
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 develope 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.
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