An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery
Clear cell chondrosarcoma is a rare bone neoplasm with low-grade clinical course and the potential to metastasize to the skeleton and lungs. The aim of this report is to present a case that is extremely rare, but in accordance with the literature where the clear cell chondrosarcoma reportedly has a...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2014/109569 |
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| author | Minna Laitinen Jyrki Nieminen Toni-Karri Pakarinen |
| author_facet | Minna Laitinen Jyrki Nieminen Toni-Karri Pakarinen |
| author_sort | Minna Laitinen |
| collection | DOAJ |
| description | Clear cell chondrosarcoma is a rare bone neoplasm with low-grade clinical course and the potential to metastasize to the skeleton and lungs. The aim of this report is to present a case that is extremely rare, but in accordance with the literature where the clear cell chondrosarcoma reportedly has a tendency for late metastases. In our patient the primary surgery was intralesional, since it was mistakenly interpreted as a benign tumour in the early 80s. The local recurrence and lung metastases occurred, however, 29 years after the initial treatment. The local recurrence was resected with wide margins, no additional surgery or oncological treatments were given, and two and half years postoperatively patient is doing well and there is no progression in the disease. In conclusion, it is important to have a long follow-up to the clear cell chondrosarcoma patients even for decades or lifelong, because the malignancy tends to metastasize or recur after an extended period. The course of metastasized disease may be unusually slow, so relatively aggressive treatment in metastasized and recurring cases is justified. |
| format | Article |
| id | doaj-art-5706039742a74c69aefde032c858f16e |
| institution | OA Journals |
| issn | 2090-6749 2090-6757 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-5706039742a74c69aefde032c858f16e2025-08-20T02:05:59ZengWileyCase Reports in Orthopedics2090-67492090-67572014-01-01201410.1155/2014/109569109569An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary SurgeryMinna Laitinen0Jyrki Nieminen1Toni-Karri Pakarinen2Department of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital, P.O. Box 2000, 33521 Tampere, FinlandCoxa Hospital for Joint Replacement, Biokatu 6, 33520 Tampere, FinlandDepartment of Orthopaedics and Traumatology, Unit of Musculoskeletal Surgery, Tampere University Hospital, P.O. Box 2000, 33521 Tampere, FinlandClear cell chondrosarcoma is a rare bone neoplasm with low-grade clinical course and the potential to metastasize to the skeleton and lungs. The aim of this report is to present a case that is extremely rare, but in accordance with the literature where the clear cell chondrosarcoma reportedly has a tendency for late metastases. In our patient the primary surgery was intralesional, since it was mistakenly interpreted as a benign tumour in the early 80s. The local recurrence and lung metastases occurred, however, 29 years after the initial treatment. The local recurrence was resected with wide margins, no additional surgery or oncological treatments were given, and two and half years postoperatively patient is doing well and there is no progression in the disease. In conclusion, it is important to have a long follow-up to the clear cell chondrosarcoma patients even for decades or lifelong, because the malignancy tends to metastasize or recur after an extended period. The course of metastasized disease may be unusually slow, so relatively aggressive treatment in metastasized and recurring cases is justified.http://dx.doi.org/10.1155/2014/109569 |
| spellingShingle | Minna Laitinen Jyrki Nieminen Toni-Karri Pakarinen An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery Case Reports in Orthopedics |
| title | An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery |
| title_full | An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery |
| title_fullStr | An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery |
| title_full_unstemmed | An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery |
| title_short | An Unusual Case of Clear Cell Chondrosarcoma with Very Late Recurrence and Lung Metastases, 29 Years after Primary Surgery |
| title_sort | unusual case of clear cell chondrosarcoma with very late recurrence and lung metastases 29 years after primary surgery |
| url | http://dx.doi.org/10.1155/2014/109569 |
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