Curettage with pasteurization in situ for grade 1 chondrosarcoma - long-term follow up study of less invasive surgical procedure
Kyoji Okada, Hiroyuki Nagasawa, Shuichi Chida, Jun Nishida
Med Sci Monit 2009; 15(3): CS44-48
In the treatment of grade 1 chondrosarcoma of long tubular bones, a wide excision with replacement by a metal prosthesis has been widely used. However, postoperative function of the affected extremity has occasionally been problematic.
Material and Method: In two cases of grade 1 chondrosarcoma, a 54-year-old man with a lesion in the mid humerus and a 17-year-old woman with the lesion in the proximal femur, we performed curettage with pasteurization in situ. In both cases, destruction of the cortical bone was limited on radiographs. Follow-up studies 11 years after surgery did not showed local recurrence or functional deficit in either case.
Conclusions: This less invasive surgical procedure has an advantage of sparing limb function and preventing local recurrence for grade 1 chondrosarcoma.
Keywords: Male, Time Factors, Tomography, X-Ray Computed, Middle Aged, Magnetic Resonance Imaging, Humerus - radiography, Humans, Follow-Up Studies, Female, Curettage - methods, Osteolysis - radiography, Chondrosarcoma - surgery, Cell Proliferation, Biopsy, Adolescent