TY - JOUR
T1 - Recurrent aggressive chondrosarcoma of the middle phalanx of the index finger
T2 - Excision and reconstruction with an osteocartilaginous allograft
AU - Exner, G. Ulrich
AU - Dumont, Charles E.
AU - Malinin, Theodore I.
AU - von Hochstetter, Arthur R.
N1 - Copyright:
Copyright 2008 Elsevier B.V., All rights reserved.
PY - 2003/10
Y1 - 2003/10
N2 - Introduction: Chondrosarcomas are malignant tumours and need to be treated aggressively including ablative surgery. Bovée et al. and Mankin have recently drawn attention to a less aggressive behaviour of chondrosarcomas of the phalanges compared with those of other localizations including the metacarpals. Materials and methods: An 12 year follow-up of a patient with a chondrosarcoma of the middle phalanx of the index finger is presented. The lesion was curetted initially, and a repeat curettage was performed 4 years later. Finally, 8 years later the phalanx was excised and reconstructed with an osteocartilaginous allograft. Histologically, the lesion changed from a chondrosarcoma grade I to grade II. Result: The patient continues to be free of recurrence and metastases 4 years after the final resection. Conclusion: The potential for systemic disease of chondrosarcomas of the phalanges is probably much lower than in chondrosarcomas of other localizations, and therefore digit-sparing techniques may be considered rather than ablative procedures.
AB - Introduction: Chondrosarcomas are malignant tumours and need to be treated aggressively including ablative surgery. Bovée et al. and Mankin have recently drawn attention to a less aggressive behaviour of chondrosarcomas of the phalanges compared with those of other localizations including the metacarpals. Materials and methods: An 12 year follow-up of a patient with a chondrosarcoma of the middle phalanx of the index finger is presented. The lesion was curetted initially, and a repeat curettage was performed 4 years later. Finally, 8 years later the phalanx was excised and reconstructed with an osteocartilaginous allograft. Histologically, the lesion changed from a chondrosarcoma grade I to grade II. Result: The patient continues to be free of recurrence and metastases 4 years after the final resection. Conclusion: The potential for systemic disease of chondrosarcomas of the phalanges is probably much lower than in chondrosarcomas of other localizations, and therefore digit-sparing techniques may be considered rather than ablative procedures.
KW - Chondrosarcoma
KW - Phalanges
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U2 - 10.1007/s00402-003-0531-y
DO - 10.1007/s00402-003-0531-y
M3 - Article
C2 - 14574602
AN - SCOPUS:0242636572
VL - 123
SP - 425
EP - 428
JO - Archiv fur orthopadische und Unfall-Chirurgie
JF - Archiv fur orthopadische und Unfall-Chirurgie
SN - 0003-9330
IS - 8
ER -