Risk factors for local recurrence from atypical cartilaginous tumour and enchondroma of the long bones

European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie
Costantino ErraniDavide Donati

Abstract

The purpose of our study is to verify possible clinical and radiological findings with regard to distinguishing enchondroma from atypical cartilaginous tumour (ACT). In addition, this study determined risk factors that are associated with local recurrence of enchondroma or ACT treated with curettage. We retrospectively reviewed the records of 54 patients with enchondroma and 35 patients with ACT of the long bones treated by curettage between 1986 and 2015. The minimum follow-up was 18 months. The relationship between clinical and radiological factors and the tumour type or local recurrence was assessed using Chi-square test or Fischer exact test. Endosteal scalloping (p = 0.004) and soft tissue extension (p = 0.017) were shown to statistically favour ACT over enchondroma; by contrast, pain (p = 0.034) was more frequent in enchondroma compared to ACT. All patients with enchondroma had no local recurrence; in contrast, local recurrence occurred in four patients with ACT (11%). Soft tissue extension (p = 0.049) and the diagnosis of ACT (p = 0.021) were associated with an increased risk of local recurrence. We had a disease progression in three of four patients with local recurrence, and these had higher histological grade than the...Continue Reading

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Citations

Mar 8, 2019·The Cochrane Database of Systematic Reviews·Edwin F DierselhuisPaul C Jutte
Oct 16, 2019·The Journal of Bone and Joint Surgery. American Volume·Jacob Bickels, Domenico A Campanacci
Nov 17, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·P Simon
Sep 11, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Patricio A AlfaroCostantino Errani
Aug 20, 2019·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·S S JassimR Pollock
Apr 26, 2019·Archives of Orthopaedic and Trauma Surgery·Shai S ShemeshSheila A Conway
Jan 23, 2021·Advances in Anatomic Pathology·Joon Hyuk Choi, Jae Y Ro

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