Recurrent aggressive chondrosarcoma of the middle phalanx of the index finger: excision and reconstruction with an osteocartilaginous allograft
- 79 Downloads
Chondrosarcomas are malignant tumours and need to be treated aggressively including ablative surgery. Bovée et al. and Mankin have recently drawn attention to a less aggressive behaviour of chondrosarcomas of the phalanges compared with those of other localizations including the metacarpals.
Materials and methods
An 12 year follow-up of a patient with a chondrosarcoma of the middle phalanx of the index finger is presented. The lesion was curetted initially, and a repeat curettage was performed 4 years later. Finally, 8 years later the phalanx was excised and reconstructed with an osteocartilaginous allograft. Histologically, the lesion changed from a chondrosarcoma grade I to grade II.
The patient continues to be free of recurrence and metastases 4 years after the final resection.
The potential for systemic disease of chondrosarcomas of the phalanges is probably much lower than in chondrosarcomas of other localizations, and therefore digit-sparing techniques may be considered rather than ablative procedures.
- 1.Bonnet C, Rochet N, Arnaud M, Martchenko, A, Traore A, Bertin Ph, Treves R, Desproges-Gotteron R (1990) Chondrosarcome des doigts. A propos de 2 observations. Rev Rhum 57:427–429Google Scholar
- 5.Kocher MS, Jupiter JB (2000) Enchondroma versus chondrosarcoma of the phalanx. Orthopaedics 23:493–494Google Scholar
- 6.Mankin HJ (1999) Chondrosarcoma of digits. Are they really malignant? Cancer 86:1724–1732Google Scholar