Comparison of chondrosarcoma cases (grade I, II, III) current situations with clinical and statistical analysis among institutions.

Abstract

Background Chondrosarcomas is a rare tumour that has a variable biological characteristic. Also, their treatment clinically and surgically is controversial. We performed a comparison review of different regional institutions series with the aim of assessing the clinical outcome of patients. Purposes We, therefore, compare different institutions from different regions patients with grade 1 to 3 chondrosarcomas to (1)determine difference in survival rate, (2) local recurrence results, (3) determine successful outcome after surgery, (4) differences among surgical procedures. (5) Determine any association of clinical and demographic behaviour with gender, follow-up, treatment and chondrosarcoma affected body locations. Methods A retrospective review of 33 chondrosarcoma(all grades) patient’s data since 2013, compared with 15 author’s total 868 patients research literature to find more about clinical and statistical advantages and similarities with our study. Here is mentioning of clinical information’s, surgery type categorised, adjuvants types, genders, follow-up years, recurrence, affected areas, death rates, successful outcome and survival rates by using statistical methods. Results The overall survival rate was 94%, successful outcome 85% in 4.3 + 1.2 years follow-up. Observed wide resection, distilled water as adjuvant, chemo & radiotherapy significantly shows excellent result over our compared chondrosarcoma literature datas. We have also marked that females and humerus bone are more affected by chondrosarcoma among those literatures data. Conclusions Low-grade chondrosarcoma of the skeleton can be treated with wide resection and by the use of distilled water, which give good oncological outcome and a very low rate of post-surgical complications, as well as chondrosarcoma all grades recurrence.

Suave-Kapandji Reconstruction After Excision of the Distal Ulna for Chondrosarcoma: A Case Report

“…Excision, usually in a marginal en bloc fashion, remains a common treatment for “expendable bones,” such as the ribs, clavicle, distal ulna, iliac crest, scapular body, and proximal fibula. In these locations, the morbidity of wide excision is small and musculoskeletal function remains excellent without reconstruction [ 8 ].…”

“…However, the lesion occurs in an "expendable bone" and can be treated with marginal en-bloc excision. Compared to curettage, marginal en-bloc excision would provide a much-reduced risk of local recurrence, while maintaining a good functional outcome [ 8 ]. Previous critics of distal ulna excision note in prior studies that potential outcomes however could include weakness of grip, loss of ulnar support at the carpus, ulnar translation of the carpus, radioulnar impingement, and pronounced radioulnar instability [ 9 ].…”