Complete local tumor control after curettage of chondroblastoma–a retrospective analysis

Tiefenboeck, Thomas M.; Stockhammer, Verena; Panotopoulos, Joannis; Lang, Susanna; Sulzbacher, Irene; Windhager, Reinhard; Funovics, Philipp

doi:10.1016/j.otsr.2016.01.025

Cited by 20 publications

(21 citation statements)

References 21 publications

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“…However, to the best of our knowledge there is no comparative study searching the best local adjuvant. High speed burring may stay in the forefront rather than local adjuvant application following an extensive local curettage 13, 21. However, phenol which has a demonstrated efficacy may be preferably applied in cases with lesions close to but not violating the joint(lieratur 14) Multiple adjuvants can be applied together.…”

Section: Discussionmentioning

confidence: 99%

Chondroblastoma: An evaluation of the recurrences and functional outcomes following treatment

Özer¹,

Arıkan²,

Gur³

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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ObjectiveChondroblastoma is a benign aggressive tumor which needs surgical treatment and has a recurrence rate up to 35%. Extended (aggressive) curettage is the mainstay of treatment and local adjuvants have been reported to decrease the recurrence rate.MethodsThe recurrence rates and the functional results of 14 patients who were treated in our institution and 2 other patients who were treated elsewhere between the years 2004–2016 were evaluated. Seventeen cases (13 male, 3 female; mean age: 17.1 [range: 13 to 32] years) who had been diagnosed, treated and followed up in our hospital between 2004 and 2016 were evaluated in terms of recurrence rates and functional outcomes. The average follow-up period was 41.6 (range: 12 to 132) months.ResultsFive cases of recurrence were observed. Two cases had undergone their primary treatment in another institution. Seven cases were performed curettage alone whereas nine others were administered adjuvant treatments. One of the five recurrence patients was advised to undergo disarticulation. Another was treated with curettage and grafting and the remaining three patients with curettage and cementing. No recurrence was observed in their follow-up period. Their mean MSTS score was 27.3 (range: 4 to 30) over a maximum of 30 points and their functional results were good.ConclusionChondroblastoma is a tumor with high recurrence rates in the post-treatment period. However, good functional outcomes can be achieved with early diagnosis and appropriate treatment even after recurrence.Level of evidence: Level IV, therapeutic study.

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Section: Discussionmentioning

confidence: 99%

Chondroblastoma: An evaluation of the recurrences and functional outcomes following treatment

Özer¹,

Arıkan²,

Gur³

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

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“…Chondroblastoma is a benign tumor and mostly originates in an epiphyseal plate of long bone, which primarily occurs in children and adolescents. Previous studies reported first-line treatment should be lesion curettage [ 1 , 9 , 12 , 13 ]. Local recurrence rate of lesion curettage was 10~35%.…”

Section: Discussionmentioning

confidence: 99%

“…Local recurrence rate of lesion curettage was 10~35%. Risk factors of recurrence include location, young age, inadequate surgery, and biologic aggressiveness of tumor [ 12 , 13 ]. Schreuder et al reported that surgical technique might play the most important role in chondroblasoma recurrence [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

“…Schreuder et al reported that surgical technique might play the most important role in chondroblasoma recurrence [ 12 ]. Some reports showed that simple curettage was associated with higher recurrence rate because of too much worry about damaging an open epiphyseal plate [ 12 , 13 ]. In this study, we preferred to use a bone drill to polish tumor cavity.…”

Section: Discussionmentioning

confidence: 99%

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The effects of surgical treatment with chondroblastoma in children and adolescents in open epiphyseal plate of long bones

Xiong

Lang

et al. 2018

World J Surg Onc

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BackgroundChondroblastoma is a rare benign cartilaginous tumor, which primarily occurs in children and adolescents. Chondroblastoma commonly originates in the epiphyseal plate of long bones. An aggressive curettage treatment is recommended to manage lesion, which may jeopardize an open epiphyseal plate and result in limb shortening and deformity as the limb grows and develops. The purpose is to observe surgical effects of chondroblastoma on open epiphyseal plate of long bones in children and adolescents and explore influences on limb growth and development.MethodsWe retrospectively reviewed 18 cases of long bone chondroblastoma with open epiphyseal growth plate during March 2004 to October 2010 in our center. Seven females and 11 males with mean age of 11.6 ± 2.0 years old (8–15 years) were included. Patients, who suffered from trauma and pathological fracture of the epiphyseal plate or congenital diseases such as poliomyelitis, congenital dementia, and cartilage malnutrition, were excluded. All patients were treated with meticulous intralesional curettage and inactivity with alcohol followed by bone grafts. All cases were followed up 8.2 ± 1.7 years (5–11.5 years).ResultsAll had no local recurrence and distance metastasis. The length of the affected limb was short, 18.47 ± 7.22 mm (1.5–30 mm). There was no obvious relativity with tumor activity (P = 0.061). Meanwhile, there were obvious relativity with the greatest dimension of the lesion (TGD) (P = 0.003), the vertical dimension between edge of lesion and epiphyseal line (TVD) (P = 0.010), and area ratio of lesion to local epiphysis (lesion/growth plate) (P = 0.015). The MSTS93 (Revised Musculoskeletal Tumor Society Rating Scale 93) and SF-36 (Medical Outcomes Study 36-Item Short-Form Health Survey) had been significantly improved (P < 0.01).ConclusionManaging of chondroblastoma located in open epiphyseal plate of a long bone with meticulous curettage, inactivity, and bone grafts can control tumor progression and recurrence effectively. Meanwhile, early detection and prompt surgical treatment intervention, which reduced significantly the tumor to influence limb growth and development, get encouraging limb function.Trial registrationThis is a retrospective study, which was not registered in any trial registry.

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“…Articular surface reconstruction may be necessary in case of extensive subchondral erosion. 6 Less commonly chondroblastoma may occur along with metastatic lung disease. In these cases, the nodes have to be completely removed.…”

Section: Discussionmentioning

confidence: 99%

An unusual localization of chondroblastoma: The triradiate cartilage; from a case report a reconstructive technique proposal with imaging evolution

Zoccali

Arrigoni

Mariani

et al. 2017

Journal of Clinical Orthopaedics and Trauma

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Complete local tumor control after curettage of chondroblastoma–a retrospective analysis

Abstract: Level IV, retrospective study.

Cited by 20 publications

References 21 publications

Chondroblastoma: An evaluation of the recurrences and functional outcomes following treatment

Chondroblastoma: An evaluation of the recurrences and functional outcomes following treatment

The effects of surgical treatment with chondroblastoma in children and adolescents in open epiphyseal plate of long bones

An unusual localization of chondroblastoma: The triradiate cartilage; from a case report a reconstructive technique proposal with imaging evolution

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