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Eur J Surg Oncol. 1998 Apr;24(2):120-6.

Treatment of benign and low-grade malignant intramedullary chondroid tumours with curettage and cryosurgery.

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1
Department of Orthopaedics, University Hospital Nijmegen, The Netherlands.

Abstract

AIMS:

To shed light on the controversy surrounding the methods of evaluating, staging and final treatment of intramedullary chondroid lesions. Controversy particularly exists for enchondroma and low-grade chondrosarcoma located in the extremities, because their accurate distinction is hampered by their radiographical and histological similarity.

METHODS:

Since 1991 we have treated 22 patients (mean age: 39.6 years) with 26 lesions (three chondroblastomas, 14 enchondromas and nine grade 1 chondrosarcomas) with curettage, cryosurgery and bone grafting.

RESULTS:

After a mean follow-up of 26 months no recurrences were observed. Complications consisted of two post-operative fractures, one wound infection and one intraoperative venous gas embolism. All bone grafts incorporated, resulting in full weight-bearing capacity and excellent functional results.

CONCLUSION:

The usefulness of a combination of curettage and cryosurgery as adjuvant therapy is considered to be equal to marginal resection according to orthopaedic oncological principles. The pre-operative assessment of these lesions and cryosurgical technique is described in detail.

PMID:
9591027
[Indexed for MEDLINE]
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