Cartilage tumors: evaluation and treatment

J Am Acad Orthop Surg. Sep-Oct 2000;8(5):292-304. doi: 10.5435/00124635-200009000-00003.

Abstract

The proper treatment of cartilaginous tumors is dependent on the clinicopathologic and radiologic findings. Enchondroma is a benign tumor that is usually asymptomatic and thus should be treated nonoperatively. Symptomatic enchondromas are often treated by intralesional excision. Intramedullary low-grade chondrosarcoma is a malignant tumor that is usually painful. The treatment of low-grade chondrosarcoma may range from intralesional excision with or without adjuvant therapy to wide excision. Although intralesional excisions have a higher bone and joint preservation rate than wide excisions, they may be associated with a higher local recurrence rate. Intermediate- and high-grade chondrosarcomas are treated with wide excisions. The treatment of these cartilaginous lesions should involve a multidisciplinary team including a musculoskeletal surgeon, a radiologist, and a pathologist.

Publication types

  • Review

MeSH terms

  • Bone Neoplasms* / diagnosis
  • Bone Neoplasms* / surgery
  • Bone Neoplasms* / therapy
  • Cartilage / pathology
  • Chondroma* / diagnosis
  • Chondroma* / surgery
  • Chondroma* / therapy
  • Chondrosarcoma* / diagnosis
  • Chondrosarcoma* / surgery
  • Chondrosarcoma* / therapy
  • Humans
  • Neoplasm Staging