Surgical treatment and outcome of conventional pelvic chondrosarcoma

Davide Donati, A. El Ghoneimy, F. Bertoni, C. Di Bella, M. Mercuri

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We reviewed 124 patients with a conventional pelvic chondrosarcoma who had been treated over a period of 20 years. We recorded the type of tumour (central or peripheral), type of operation (limb salvage surgery or hemipelvectomy), the grade of tumour, local recurrence and/or metastases, in order to identify the factors which might influence survival. More satisfactory surgical margins were achieved for central tumours or in those patients treated by hemipelvectomy. However, grade 1 tumours, whatever the course, did not develope metastases or cause death, while grade 3 tumours had the worst outcome and prognosis. Central, high-grade tumours require aggressive surgical treatment in order to achieve adequate surgical margins, particularly in those lesions located close to the sacroiliac joint. By contrast, grade 1 peripheral chondrosarcomas may be treated with contaminated margins in order to reduce operative morbidity, but without reducing survival.

Original languageEnglish
Pages (from-to)1527-1530
Number of pages4
JournalJournal of Bone and Joint Surgery - Series B
Issue number11
Publication statusPublished - Nov 2005

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery


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