surgical treatment of chondrosarcoma of the sternum软骨肉瘤的外科治疗胸骨.pdfVIP

Sarcoma (2001) 5, 209–213 ORIGINAL ARTICLE Surgical treatment of chondrosarcoma of the sternum 1 2 3 4 ROBERT U. ASHFORD , JEREMY STANTON , FARID KHAN , JEAN A.S. PRINGLE , STEPHEN R. CANNON4 TIMOTHY W.R. BRIGGS4 1Hull Royal Infirmary, Hull, 2Colchester General Hospital, Colchester, 3 Queen Elizabeth Hospital, Woolwich, 4 The London Bone and Soft Tissue Tumour Service, The Royal National Orthopaedic Hospital, Brockley Hill, Stanmore, Middlesex, UK Abstract Purpose: We reviewed all tumours of the sternum referred to The London Bone and Soft Tissue Tumour Service between 1956 and 1997 inclusive. Patients and results: There were eight patients with this pathology, the male to female ratio was 3:1 and their mean age was 53 years. Of these patients, three are alive and disease free, one is alive with recurrence, and four have died, two of the conse- quences of the disease and two of unrelated causes. Surgery is the principal treatment of these tumours both for excision and subsequent reconstruction. Discussion: Extended disease-free survival is possible with correct diagnosis, complete excision at the first operation, appro- priate skeletal reconstruction, adequate skin cover and appropriate postoperative support and follow-up. Introduction of 12 surgical procedures (excluding biopsies) to the sternum with all patients having at least one (Table The sternum is an unusual site for malignant bone 2). The follow up ranged from 3 to 21 years. tumours. A retrospective study of the London Bone The assessment, management and follow-up of Tumour Registry