[Current status of chondrosarcoma in a reference center].

Acta ortopedica mexicana Pub Date : 2021-07-01
M A Clara-Altamirano, D Y García-Ortega, M Núñez-González, C H S Caro-Sánchez, G Espejo-Sánchez, H Martínez-Said, M Cuéllar-Hübbe
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Abstract

Introduction: Chondrosarcoma is the second most frequent primary malignant bone tumor, is characterized by the formation of a chondroid matrix, is more frequent in advanced ages and its prognosis is directly related to the histological subtype and tumor grade. The objective of this article is to present the demographic and treatment profile in a reference center.

Material and methods: A retrospective, descriptive, observational, analytical cohort-type study was conducted in a reference center between January 1, 2005 and December 31, 2019, the demographic variables were analyzed and contrasted with the outcome variables that were overall survival and disease-free period.

Results: 85 patients were included, the mean age of presentation was 43.3 years, the clinical stage at the time of presentation was mostly IIa and IIb covering 54.1%. 35 patients had metastases with clinical stage IV. The main site of metastasis was the lung in 32 patients (37.6%). Thirty-six patients (42.3%) had specific mortality. 35 patients (41.2%) died as a result of metastatic disease to lung or other organs, one patient died from direct extension of the tumor in the cervical spine.

Conclusion: The important prognostic factors found in our series that influence global survival are: the presence of metastases and axial localization.

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参考中心软骨肉瘤的现状。
软骨肉瘤是第二常见的原发性骨恶性肿瘤,以软骨样基质的形成为特征,多见于高龄患者,其预后与组织学亚型和肿瘤分级直接相关。本文的目的是介绍参考中心的人口统计和治疗概况。材料与方法:于2005年1月1日至2019年12月31日在某参考中心进行回顾性、描述性、观察性、分析性队列研究,对人口学变量进行分析,并与总生存期、无病期等结局变量进行对比。结果:共纳入85例患者,平均发病年龄43.3岁,发病时临床分期以IIa和IIb为主,占54.1%。35例发生转移,临床分期为ⅳ期,32例(37.6%)主要转移部位为肺。36例(42.3%)有特定死亡率。35例(41.2%)患者死于转移到肺或其他器官,1例患者死于肿瘤直接扩展到颈椎。结论:在我们的研究中发现,影响整体生存的重要预后因素是:转移的存在和轴向定位。
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