Skip to main content
Book cover

Bone Sarcoma pp 117–130Cite as

Chondrosarcoma

  • Chapter
  • First Online:

Part of the book series: MD Anderson Cancer Care Series ((MDCCS))

Chapter Overview

Chondrosarcomas constitute a heterogeneous group of rare malignancies that produce a cartilaginous matrix. These tumors exhibit a wide spectrum of clinical behavior. The overwhelming majority are relatively chemo- and radioresistant; therefore, surgery is presently the mainstay of treatment. Intratumoral heterogeneity can confound the determination of an accurate diagnosis, which can result in inappropriate surgery. In the absence of novel effective adjuvant therapies, treatment generally has remained unchanged, and clinical outcomes have been relatively stable for decades. Current issues that remain unresolved include the value of pretreatment biopsy, the role of intralesional curettage of histologically low-grade tumors, the role of adjuvant radiation therapy, and the identification of effective systemic therapies.

Dr. Yasko died during production of this volume. Further revisions to the chapter were made by Vinod Ravi, Ashleigh Guadagnolo, and Patrick P. Lin.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Suggested Readings

  • Bauer HC, Brosjo O, Kreicbergs A, Lindholm J. Low risk of recurrence of enchondroma and low-grade chondrosarcoma in extremities. 80 patients followed for 2–25 years. Acta Orthop Scand. 1995;66:283–8.

    Article  PubMed  CAS  Google Scholar 

  • Benjamin RS, Chu P, Patel SR, et al. Dedifferentiated chondrosarcoma: a treatable disease. Proc Am Assoc Cancer Res. 1995;36:243 [abstract].

    Google Scholar 

  • Bertoni F, Bacchini P, Hogendoorn PC. Chondrosarcoma. In: Fletcher CDM, Unni KK, Mertens F, editors. World Health Organization classification of tumours. Pathology and genetics of tumours of soft tissue and bone. Lyon: IARC Press; 2002. p. 247–51.

    Google Scholar 

  • Bjornsson J, McLeod RA, Unni KK, Ilstrup DM, Pritchard DJ. Primary chondrosarcoma of long bones and limb girdles. Cancer. 1998;83:2105–19.

    Article  PubMed  CAS  Google Scholar 

  • Cesari M, Bertoni F, Bacchini P, Mercuri M, Palmerini E, Ferrari S. Mesenchymal chondrosarcoma. An analysis of patients treated at a single institution. Tumori. 2007;93:423–7.

    PubMed  Google Scholar 

  • Dantonello TM, Int-Veen C, Leuschner I, et al. Mesenchymal chondrosarcoma of soft tissues and bone in children, adolescents, and young adults: experiences of the CWS and COSS study groups. Cancer. 2008;112:2424–31.

    Article  PubMed  Google Scholar 

  • Dickey ID, Rose PS, Fuchs B, et al. Dedifferentiated chondrosarcoma: the role of chemotherapy with updated outcomes. J Bone Joint Surg Am. 2004;86:2412–8.

    PubMed  Google Scholar 

  • Eefting D, Schrage YM, Geirnaerdt MJ, et al. Assessment of interobserver variability and histologic parameters to improve reliability in classification and grading of central cartilaginous tumors. Am J Surg Pathol. 2009;33:50–7.

    Article  PubMed  Google Scholar 

  • Fiorenza F, Abudu A, Grimer RJ, et al. Risk factors for survival and local control in chondrosarcoma of bone. J Bone Joint Surg Br. 2002;84:93–9.

    Article  PubMed  CAS  Google Scholar 

  • Frassica FJ, Unni KK, Beabout JW, Sim FH. Dedifferentiated chondrosarcoma. A report of the clinicopathological features and treatment of seventy-eight cases. J Bone Joint Surg Am. 1986;68:1197–205.

    PubMed  CAS  Google Scholar 

  • Giuffrida AY, Burgueno JE, Koniaris LG, Gutierrez JC, Duncan R, Scully SP. Chondrosarcoma in the United States (1973 to 2003): an analysis of 2890 cases from the SEER database. J Bone Joint Surg Am. 2009;91:1063–72.

    Article  PubMed  Google Scholar 

  • Grimer RJ, Gosheger G, Taminiau A, et al. Dedifferentiated chondrosarcoma: prognostic factors and outcome from a European group. Eur J Cancer. 2007;43:2060–5.

    Article  PubMed  Google Scholar 

  • Huvos AG. Chondrosarcoma. In: Bone tumors: diagnosis, treatment, and prognosis. 2nd ed. Philadelphia: W.B. Saunders Company; 1991. p. 343–61.

    Google Scholar 

  • Johnson S, Tetu B, Ayala AG, Chawla SP. Chondrosarcoma with additional mesenchymal component (dedifferentiated chondrosarcoma). I. A clinicopathologic study of 26 cases. Cancer. 1986;58:278–86.

    Article  PubMed  CAS  Google Scholar 

  • Lee FY, Mankin HJ, Fondren G, et al. Chondrosarcoma of bone: an assessment of outcome. J Bone Joint Surg Am. 1999;81:326–38.

    Article  PubMed  CAS  Google Scholar 

  • Leerapun T, Hugate RR, Inwards CY, Scully SP, Sim FH. Surgical management of conventional grade I chondrosarcoma of long bones. Clin Orthop Relat Res. 2007;463:166–72.

    PubMed  Google Scholar 

  • Lin PP, Alfawareh MD, Takeuchi A, Moon BS, Lewis VO. Sixty percent 10-year survival of patients with chondrosarcoma after local recurrence. Clin Orthop Relat Res. 2012;470:670–6.

    Google Scholar 

  • Mitchell AD, Ayoub K, Mangham DC, Grimer RJ, Carter SR, Tillman RM. Experience in the treatment of dedifferentiated chondrosarcoma. J Bone Joint Surg Br. 2000;82:55–61.

    Article  PubMed  CAS  Google Scholar 

  • Normand AN, Cannon CP, Lewis VO, Lin PP, Yasko AW. Curettage of biopsy-diagnosed grade 1 periacetabular chondrosarcoma. Clin Orthop Relat Res. 2007;459:146–9.

    Article  PubMed  Google Scholar 

  • Pant R, Yasko AW, Lewis VO, Raymond K, Lin PP. Chondrosarcoma of the scapula: long-term oncologic outcome. Cancer. 2005;104:149–58.

    Article  PubMed  Google Scholar 

  • Sheth DS, Yasko AW, Johnson ME, Ayala AG, Murray JA, Romsdahl MM. Chondrosarcoma of the pelvis. Prognostic factors for 67 patients treated with definitive surgery. Cancer. 1996;78:745–50.

    Article  PubMed  CAS  Google Scholar 

  • Skeletal Lesions Interobserver Correlation among Expert Diagnosticians (SLICED) Study Group. Reliability of histopathologic and radiologic grading of cartilaginous neoplasms in long bones. J Bone Joint Surg Am. 2007;89:2113–23.

    Article  Google Scholar 

  • Unni KK, Inwards CY. Chondrosarcoma (primary, secondary, dedifferentiated, and clear cell). In: Dahlin’s bone tumors: general aspects and data on 10,165 cases. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010a. p. 60–91.

    Google Scholar 

  • Unni KK, Inwards CY. Mesenchymal chondrosarcoma. In: Dahlin’s bone tumors: general aspects and data on 10,165 cases. 6th ed. Philadelphia: Lippincott Williams & Wilkins; 2010b. p. 92–7.

    Google Scholar 

  • van der Geest IC, de Valk MH, de Rooy JW, Pruszczynski M, Veth RP, Schreuder HW. Oncological and functional results of cryosurgical therapy of enchondromas and chondrosarcomas grade 1. J Surg Oncol. 2008;98:421–6.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vinod Ravi .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2013 Springer Science+Business Media New York

About this chapter

Cite this chapter

Yasko, A.W., Ravi, V., Guadagnolo, A. (2013). Chondrosarcoma. In: Lin, P., Patel, S. (eds) Bone Sarcoma. MD Anderson Cancer Care Series. Springer, Boston, MA. https://doi.org/10.1007/978-1-4614-5194-5_7

Download citation

  • DOI: https://doi.org/10.1007/978-1-4614-5194-5_7

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4614-5193-8

  • Online ISBN: 978-1-4614-5194-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics