59-297
Condrosarcoma en fémur proximal. Importancia del estudio preoperatorio: A propósito de un caso
Proximal femur chondrosarcoma. preoperative studys importance: About a case.
MÍNGUEZ-MALONDA P, AUSINA-GÓMEZ S, IZQUIERDO-PLAZAS L, PONT-GUTIÉRREZ C, PIQUERAS-VIDAL PM, MONTOZA-NÚÑEZ JM. SERVICIO DE CIRUGÍA ORTOPÉDICA Y TRAUMATOLOGÍA, HOSPITAL SAN JUAN DE ALICANTE, ALICANTE, ESPAÑA
Recepción:
16/04/2024
Aceptación:
16/04/2024
Publicación:
16/04/2024
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Resumen (ES)
Chondrosarcomas are a malign type of bone tumours arising from cartilaginous tissue. Their behaviour and prognosis
depends on their histological grade and radiological characteristics, and thus their treatment of choice. We present a case
about a 55-year-old woman with a bone mass in her left femur seen in imaging studies. After the biopsy, it was diagnosed
as a low-grade chondrosarcoma. A new X-ray prior to the surgery showed signs of greater aggressiveness, reason why a
more extensive surgery was performed. The surgical piece confirmed a dedifferentiated chondrosarcoma, achieving
tumour-free surgical margins. It is very important to correlate the biopsys histology with the tumours clinical-radiological
behaviour, as it is important to perform an adequate preoperative study in order to plan the most appropriate surgical
approach
depends on their histological grade and radiological characteristics, and thus their treatment of choice. We present a case
about a 55-year-old woman with a bone mass in her left femur seen in imaging studies. After the biopsy, it was diagnosed
as a low-grade chondrosarcoma. A new X-ray prior to the surgery showed signs of greater aggressiveness, reason why a
more extensive surgery was performed. The surgical piece confirmed a dedifferentiated chondrosarcoma, achieving
tumour-free surgical margins. It is very important to correlate the biopsys histology with the tumours clinical-radiological
behaviour, as it is important to perform an adequate preoperative study in order to plan the most appropriate surgical
approach
Palabras clave (ES):
cirugía
condrosarcoma
histológico
grado
preoperatorio
estudio
Resumen (EN)
Chondrosarcomas are a malign type of bone tumours arising from cartilaginous tissue. Their behaviour and prognosis
depends on their histological grade and radiological characteristics, and thus their treatment of choice. We present a case
about a 55-year-old woman with a bone mass in her left femur seen in imaging studies. After the biopsy, it was diagnosed
as a low-grade chondrosarcoma. A new X-ray prior to the surgery showed signs of greater aggressiveness, reason why a
more extensive surgery was performed. The surgical piece confirmed a dedifferentiated chondrosarcoma, achieving
tumour-free surgical margins. It is very important to correlate the biopsys histology with the tumours clinical-radiological
behaviour, as it is important to perform an adequate preoperative study in order to plan the most appropriate surgical
approach
depends on their histological grade and radiological characteristics, and thus their treatment of choice. We present a case
about a 55-year-old woman with a bone mass in her left femur seen in imaging studies. After the biopsy, it was diagnosed
as a low-grade chondrosarcoma. A new X-ray prior to the surgery showed signs of greater aggressiveness, reason why a
more extensive surgery was performed. The surgical piece confirmed a dedifferentiated chondrosarcoma, achieving
tumour-free surgical margins. It is very important to correlate the biopsys histology with the tumours clinical-radiological
behaviour, as it is important to perform an adequate preoperative study in order to plan the most appropriate surgical
approach
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