Cirugía de salvamento en un caso de condrosarcoma de rodilla: Cirugía de salvamento en condrosarcoma de rodilla

Andrés Peredo Lazarte; Mario German Rivera Alarcon

doi:10.47993/gmb.v44i1.175

Authors

Andrés Peredo Lazarte Médico Traumatólogo del Hospital Manuel Ascencio Villarroel-Punata
Mario German Rivera Alarcon Medico traumatólogo Hospital Obrero N°2. Jefe de servicio del departamento de Traumatología

DOI:

https://doi.org/10.47993/gmb.v44i1.175

Keywords:

dedifferentiated chondrosarcoma, salvage surgery, knee replacement

Abstract

The following case is a female patient who came to the trauma clinic for knee pain and difficulty walking, with no history of trauma.The anteroposterior and lateral radiograph shows multiple radiolucent and sclerotic areas on the tibial plateau and the right distal femur.The biopsy reports grade 2 undifferentiated chondrosarcoma. Prophylactic chemotherapy sessions are started and salvage surgery is planned, this given the patient’s refusal to accept amputation surgery. Reconstruction surgery was performed by placing a semi-constrained, cemented endo Model type prosthesis. In the postoperative period, weekly controls and dressings were carried out, with good wound healing and later rehabilitation by physiotherapy. Actually the patient can walk with support and almost independently.

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References

Lozano Martínez GA, Llauger Rosselló J. Secondary chondrosarcoma: radiopathological correlation. Radiologia. 2015; 57(4):344-359. DOI: 10.1016/j.rx.2014.04.004. DOI: https://doi.org/10.1016/j.rx.2014.04.004

Rey N, et al. Condrosarcoma Paratesticular: Reporte de un caso. Archivos de Patología. 2020. DOI: https://doi.org/10.47579/AP.20.01.0002

Martínez F, Manjón P, Montes S. Condrosarcoma. Variantes de condrosarcoma. Rev esp patologia. 2006: 69-79. DOI: https://doi.org/10.1016/S1699-8855(06)70016-2

González J. Condrosarcoma costal con diseminación intraperitoneal. Revista Cubana de Cirugía. 2020; 58(4).

Muentes D. et al. Condrosarcoma mixoide extraóseo: Caracterización por resonancia magnética. Acta Médica Grupo Ángeles. 2010; 8(4): 208-212.

Jurado P, Franco B, Castañeda M. Condrosarcoma mixoide en el seno maxilar. Anales de Otorrinolaringología Mexicana. 2013; 58(2).

Pacheco L, et al. Condrosarcoma de la laringe: Reporte de un caso y revisión de la literatura. Revista de otorrinolaringología y cirugía de cabeza y cuello. 2017; 77(2): 175-180. DOI: https://doi.org/10.4067/S0718-48162017000200009

Grimer J, et al. Dedifferentiated chondrosarcoma: prognostic factors and outcome from a European group. European journal of cancer. 2007; 43(4): 2060-2065. DOI: https://doi.org/10.1016/j.ejca.2007.06.016

Chang H, et al. Dedifferentiated Chondrosarcoma of Tibial Bone with Knee Pain: A Case Report. 2009; 20(2): 181-186.

Esparza R, et al. Condrosarcomas óseos: características clínicas y resultados quirúrgicos en cinco años. Revista Médica del Instituto Mexicano del Seguro Social. 2018; 56(3): 273-278.

Soto C, et al. Coraco-Glenoid Chondrosarcoma Glenoid Resection and Reconstruction with an External Tibial Plateau Osteochondral Allograft. J Orthop Ther. DOI: 10 (2018): 2575-8241.

Alcántara A, et al. Condrosarcoma de células claras desdiferenciado. Presentación de un caso con estudio de inmunohistoquímica y revisión de la literatura. Rev Med Hosp Gen Mex. 75 (2012): 105-9.

Chiron P, Murgier J. Knee chondrosarcoma secondary to Ollier’s disease: a report of one case with twelve-year follow-up”. Orthopedic reviews. 2012; 4(2). DOI: https://doi.org/10.4081/or.2012.e16

Gambarotti M, et al. Dedifferentiated chondrosarcoma with “adamantinoma-like” features: a case report and review of literature. Pathology-Research and Practice. 2017; 213(6): 698-701. DOI: https://doi.org/10.1016/j.prp.2017.04.019

Albergo J, et al. Proximal humerus chondrosarcoma. Long-term clinical and oncological outcomes. Revista Española de Cirugía Ortopédica y Traumatología. 2019; 63(3): 181-186. DOI: https://doi.org/10.1016/j.recote.2019.04.004

Murphey M, et al. From the archives of the AFIP: imaging of primary chondrosarcoma: radiologic-pathologic correlation. Radiographics. 2003; 23(5): 1245-1278. DOI: https://doi.org/10.1148/rg.235035134

Van Oosterwijk J, et al. Screening for potential targets for therapy in mesenchymal, clear cell, and dedifferentiated chondrosarcoma reveals Bcl-2 family members and TGFβ as potential targets. The American journal of pathology. 2013; 182(4): 1347-1356. DOI: https://doi.org/10.1016/j.ajpath.2012.12.036

Shui X, et al. Long non-coding RNA BCAR4 promotes chondrosarcoma cell proliferation and migration through activation of mTOR signaling pathway. Experimental biology and medicine. 2017; 242(10): 1044-1050. DOI: https://doi.org/10.1177/1535370217700735

Pattanashetty O, et al. Dedifferentiated Chondrosarcoma of Proximal Tibia and Fibula with an Infected Ulcer: A Case Report. Journal of orthopaedic case reports. 2016; 6(2): 9.