Clinical outcome for patients with dedifferentiated chondrosarcoma: A report of 9 cases at a single institute

Kazuya Yokota, Akio Sakamoto, Yoshihiro Matsumoto, Shuichi Matsuda, Katsumi Harimaya, Yoshinao Oda, Yukihide Iwamoto

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16 Citations (Scopus)

Abstract

Background: Dedifferentiated chondrosarcomas consist of two distinguishable components: low-grade chondrosarcoma components and high-grade dedifferentiated components.Materials and methods: Nine cases (4 males, 5 females) of dedifferentiated chondrosarcoma were treated in our institute. The average age was 58.6 (range, 37-86) years. The tumor location was the long bone in 7 cases (femur, n=5; humerus, n=1; tibia, n=1) and the pelvic bone in 2 cases. The average time from appearance of symptoms to treatment was 9.4 (range, 1-40) months.Results and discussion: On plain radiographs, matrix mineralization was seen in all 9 cases (100%). Bone destruction was observed in 5 of 9 cases (56%), while pathological fracture was seen in one femur case (11%). Lung metastasis was observed in all cases (initially in 5 cases; during the treatment course in 4 cases). Surgery was performed in 8 cases, with local recurrence occurring in 2 of those cases (time to recurrence, 2 and 10 months). Chemotherapy was administered in 4 cases, but did not result in significant improvement. All 9 cases died of lung metastases, with a median survival time of 10 (range, 3.4-18.8) months. The presence of initial metastasis at diagnosis was a significant unfavorable prognostic factor.Conclusion: The prognosis of dedifferentiated chondrosarcoma is dismal. With the lack of convincing evidence of the benefit of chemotherapy, complete surgical excision is the initial recommended treatment.

Original languageEnglish
Article number38
JournalJournal of Orthopaedic Surgery and Research
Volume7
Issue number1
DOIs
Publication statusPublished - Dec 10 2012

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

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