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chondrosarcoma of the pelvis oncologic and functional outcome软骨肉瘤的骨盆肿瘤和功能的结果
Sarcoma (2000) 4, 161± 168
ORIGINAL ARTICLE
Chondrosarcoma of the pelvis: oncologic and functional outcome
REINER J. WIRBEL, 1 MICHAEL SCHULTE,2 BERND MAIER,1 MARTIN KOSCHNIK 1
WOLF E. MUTSCHLER1
1 2
Department of Trauma, Hand and Reconstr uctive Surgery, University of Saarland, Homburg, Germany, Department of
Trauma, Hand, Plastic and Reconstructive Surgery, University of Ulm, Ulm, Germany
Abstract
Purpose . Chondrosarcoma (CS) most commonly involves the pelvis. The factors that in¯ uence local and systemic control
of pelvic CS and the functional outcome should be evaluated.
Patients . Fifty-one patients (37 males and 14 females; mean age, 39.4 years) with pelvic CS were included in this
retrospective study.
Methods. The tumor stage, surgical treatment, surgical margin achieved, complications, incidence of local recurrence (LR),
incidence of distant metastases, and the oncologic and functional status were evaluated. Oncologic outcome was estimated
by the method of Kaplan and Meier, and the functional status was scored according to Musculoskeleral Tumor Society
(MSTS) criteria. Analysis of variance was used to determine the factors that in¯ uence the oncologic and functional
outcome.
Results . Surgical stages were IA in three cases, IB in 23, IIB in 23, and III in two. Hemipelvectomy (H) was performed in
13 cases, internal hemipelvectomy (IH) with endoprosthetic replacement in 17, and continuity resection (CR) in 23. Two
patients received IH and CR, one due to LR, and one due to instability. Radical or wide margins were achieved in 27 cases,
marginal margins in 16, and intralesional margins in eight. Local complication required additional surgery in 10 cases due
to local infections and/or hematomas. Two patients died perioperatively. In 48 out
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