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Is it ever safe to discharge a chondrosarcoma of pelvis? Report of a local recurrence after 10 years

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Abstract

Late local recurrence is rare in conventional pelvic chondrosarcoma. Adequacy of surgical margins is an important factor of disease control and majority of local recurrences occur within 5 years of surgery. We present a case of a 43-year-old female who underwent a PII/III resection of a Grade 1 to 2 chondrosarcoma and was discharged from routine follow-up after a 10-year disease-free interval. Thirteen years after the initial excision, she re-presented with a large local recurrence requiring a hindquarter amputation. Local recurrence more than 10 years after the index operation is uncommon in pelvic chondrosarcoma. The cases mentioned in previous studies lack documentation making recommendations on the subject difficult. Routine post-operative cross-sectional imaging is essential in pelvic chondrosarcoma even when tumour-free margins are achieved as there is no adequate adjuvant therapy to deal with microscopic disease.

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Authors and Affiliations

  1. Oncology Service, Royal Orthopaedic Hospital NHS Foundation Trust, Bristol Road South, Birmingham, B31 2AP, UK

    Czar Louie L. Gaston, Vaiyapuri P. Sumathi & Robert J. Grimer

  2. Philippine General Hospital, Taft Avenue, 1000, Manila, Philippines

    Czar Louie L. Gaston

Authors
  1. Czar Louie L. Gaston
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  2. Vaiyapuri P. Sumathi
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  3. Robert J. Grimer
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Correspondence to Czar Louie L. Gaston.

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Each author certifies that his or her institution has approved the human protocol for this report, that all investigations were conducted with conformity to the ethical principles of research, and that informed consent for this report was obtained.

This work was done in Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK.

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Gaston, C.L.L., Sumathi, V.P. & Grimer, R.J. Is it ever safe to discharge a chondrosarcoma of pelvis? Report of a local recurrence after 10 years. Musculoskelet Surg 98, 241–246 (2014). https://doi.org/10.1007/s12306-012-0224-1

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  • DOI: https://doi.org/10.1007/s12306-012-0224-1

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