Chondrosarcoma of the hand: is a wide surgical resection necessary?
Mittermayer, F.; Dominkus, M.; Krepler, P.; Schwameis, E.; Sluga, M.; Toma, C.; Lang, S.; Grampp, S.; Kotz, R.
Clinical Orthopaedics and Related Research 2004(424): 211-215
2004
ISSN/ISBN: 0009-921X PMID: 15241167 Document Number: 584314
Chondrosarcomas of the hand are rare and generally treated with surgical resection. Thirteen patients with Grade 1 chondrosarcoma of the small bones of the hand were followed up for a mean of 99.8 months (range, 26-293 months). In eight patients (Group 1) curettage and reconstruction with cancellous bone was done and in five patients (Group 2) a wide resection was done. No patient experienced relapse in Group 2. In Group 1 one patient had a local relapse 18 months after intralesional resection. Using the Musculoskeletal Tumor Society score for evaluation, the clinical results showed an average of 98% and 95% of the normal function in Groups 1 and 2, respectively. None of the patients had evidence of systemic spread of the disease. With a relapse rate of 12.5% and no distant metastases after curettage, intralesional resection is the preferred method of treatment in Grade 1 chondrosarcoma of the hand, allowing the patient to avoid amputation and major loss of function.