Relationship between surgical procedure and outcome for patients with grade I chondrosarcomas
Relationship between surgical procedure and outcome for patients with grade I chondrosarcomas
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DOI：
10.1590/s1807-59322005000200007
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发表时间：
2005-04-01
期刊：
影响因子：
2.7
通讯作者：
Baptista, André Mathias
中科院分区：
文献类型：
--
作者：
Etchebehere, Maurício;Camargo, Olavo Pires de;Baptista, André Mathias
目的：根据手术治疗的类型来评估I级软骨肉瘤患者的肿瘤学结果，因为关于是否需要积极切除以达到成功的结果仍然存在争议。材料与方法：回顾性分析23例I级软骨肉瘤患者的临床资料。年龄11 ~ 70岁，平均38.4岁；52%为男性，48%为女性。股骨是13个肿瘤的部位。肿瘤分期分别为IA（17.74%）和IB（6.26%）。关于肿瘤的位置，74%（17例）为髓质，22%（5例）为外周，4%（1例）不确定。肿瘤大小2 ~ 25cm，平均7.9 cm。手术方式11例病灶内切除，9例广泛切除，3例根治性切除。随访时间为24 ~ 192个月。结果：所有患者均无局部复发或转移；7例患者有其他一般并发症。结论：这些数据支持使用较少侵袭性的方法治疗低级别软骨肉瘤。
PURPOSE: To evaluate the oncological outcome of patients with grade I chondrosarcomas according to the type of surgical treatment performed, since there is still controversy regarding the need for aggressive resections to reach a successful outcome.MATERIALS AND METHODS: The records of 23 patients with grade I chondrosarcomas were reviewed. The mean age was 38.4 years, ranging from 11 to 70 years; 52% were men and 48% were women. The femur was the site of 13 tumors. The tumors were staged as IA (17, 74%) and IB (6, 26%). Regarding tumor location, 74% (17) were medullary, 22% (5) were peripheral, and 4% (1) was indeterminate. Tumor size ranged from 2 to 25 cm, mean 7.9 cm. Regarding the surgical procedure, 11 patients underwent intralesional resection, 9 patients underwent wide resection, and 3 underwent radical resection. The follow-up period ranged from 24 to 192 months.RESULTS: None of the patients developed local recurrence or metastases; 7 patients had other general complications.CONCLUSIONS: This data supports the use of less aggressive procedures for treatment of low-grade chondrosarcomas.