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Risk factors for survival and local control in chondrosarcoma of bone
Open accessAbstract
We studied 153 patients with non-metastatic chondrosarcoma of bone to determine the risk factors for survival and local tumour control. The minimum follow-up was for five years; 52 patients had axial and 101 appendicular tumours. Surgical treatment was by amputation in 27 and limb-preserving surgery in 126. The cumulative rate of survival of all patients, at 10 and 15 years, was 70% and 63%, respectively; 40 patients developed a local recurrence between 3 and 87 months after surgery and 49 developed metastases. Local recurrence was associated with poor survival in patients with concomitant metastases but not in those without. On multivariate analysis independent risk factors for rates of survival include extracompartmental spread, development of local recurrence and high histological grade. Independent risk factors for local recurrence include inadequate surgical margins and tumour size greater than 10 cm. Location within the body, the type of surgery and the duration of symptoms are of no prognostic significance. Surgical excision with an oncologically wide margin provides the best prospect both for cure and local control in these patients.
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Cited by
The Clinical Approach Towards Chondrosarcoma
Gelderblom, H., Hogendoorn, P. C. W., Dijkstra, S. D., van Rijswijk, C. S., Krol, A. D., Taminiau, A. H. M., & Bovée, J. V. M. G. (2008) · The Oncologist · doi:10.1634/theoncologist.2007-0237 · Cited by 756
Biology of Bone Sarcomas and New Therapeutic Developments
Brown, H. K., Schiavone, K., Gouin, F., Heymann, M.-F., & Heymann, D. (2018) · Calcified Tissue International · doi:10.1007/s00223-017-0372-2 · Cited by 163
Aran, V., Devalle, S., Meohas, W., Heringer, M., Cunha Caruso, A., Pinheiro Aguiar, D., Leite Duarte, M. E., & Moura Neto, V. (2021) · Critical Reviews in Oncology/Hematology · doi:10.1016/j.critrevonc.2021.103340 · Cited by 87
Metadata
- Authors
- Fiorenza, F., Abudu, A., Grimer, R. J., Carter, S. R., Tillman, R. M., Ayoub, K., Mangham, D. C., & Davies, A. M.
- Venue
- The Journal of Bone and Joint Surgery. British volume
- Published
- 2002-01
- Volume
- 84-B
- Issue
- 1
- Pages
- 93-99
- ISSN
- 0301-620X (ISSN-L)
- 2044-5377
- OpenAlex
- W2129316990
- Cited by
- 360
- References
- 0
- FWCI
- 2.47
- Type
- journal article
- Language
- en
- Open access
- bronze
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- Fiorenza, F., Abudu, A., Grimer, R. J., Carter, S. R., Tillman, R. M., Ayoub, K., Mangham, D. C., & Davies, A. M. (2002). Risk factors for survival and local control in chondrosarcoma of bone. The Journal of Bone and Joint Surgery. British volume. https://doi.org/10.1302/0301-620x.84b1.0840093
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