Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature

Chondrosarcoma is the third most common primary malignant bone tumor after osteosarcoma and Ewing’s sarcoma. Clear cell chondrosarcoma is a rare subtype variant of chondrosarcoma, most commonly encountered in the proximal part of the femur or humerus. Vertebral involvement is exceedingly rare and sh...

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Main Authors: Nikolaos A. Paidakakos, Aristides Rovlias, Evaggelos Rokas, Spyridon Theodoropoulos, Patroklos Katafygiotis
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Oncological Medicine
Online Access:http://dx.doi.org/10.1155/2012/693137
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author Nikolaos A. Paidakakos
Aristides Rovlias
Evaggelos Rokas
Spyridon Theodoropoulos
Patroklos Katafygiotis
author_facet Nikolaos A. Paidakakos
Aristides Rovlias
Evaggelos Rokas
Spyridon Theodoropoulos
Patroklos Katafygiotis
author_sort Nikolaos A. Paidakakos
collection DOAJ
description Chondrosarcoma is the third most common primary malignant bone tumor after osteosarcoma and Ewing’s sarcoma. Clear cell chondrosarcoma is a rare subtype variant of chondrosarcoma, most commonly encountered in the proximal part of the femur or humerus. Vertebral involvement is exceedingly rare and shows a predilection for the thoracic spine. We report the case of a woman with clear cell chondrosarcoma of the thoracic spine, which has been surgically excised, and review the pertinent literature (PubMed). Although it has a reasonably benign biological behavior, clear cell chondrosarcoma needs to be treated as a malignancy. The best treatment for spinal chondrosarcoma is surgery. It should be promptly and adequately resected. Gross-total resection should be the ultimate surgical goal. Radiation therapy should also be considered, especially in the case of subtotal resection or inoperable lesions. In conclusion, it is important to keep in mind this entity in the differential diagnosis of spinal tumors, in order to optimize treatment planning. With adequate treatment, local recurrence rates as low as 20% can be achieved.
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institution Kabale University
issn 2090-6706
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language English
publishDate 2012-01-01
publisher Wiley
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series Case Reports in Oncological Medicine
spelling doaj-art-b95df16df9654d319c4cd98e3587155d2025-02-03T01:25:53ZengWileyCase Reports in Oncological Medicine2090-67062090-67142012-01-01201210.1155/2012/693137693137Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the LiteratureNikolaos A. Paidakakos0Aristides Rovlias1Evaggelos Rokas2Spyridon Theodoropoulos3Patroklos Katafygiotis4Department of Neurosurgery, Asclepeion Voulas General Hospital, Vassileos Pavlou 1, Voula, 16673 Athens, GreeceDepartment of Neurosurgery, Asclepeion Voulas General Hospital, Vassileos Pavlou 1, Voula, 16673 Athens, GreeceDepartment of Neurosurgery, Asclepeion Voulas General Hospital, Vassileos Pavlou 1, Voula, 16673 Athens, GreeceDepartment of Neurosurgery, Asclepeion Voulas General Hospital, Vassileos Pavlou 1, Voula, 16673 Athens, GreeceDepartment of Pathology, Asclepeion Voulas General Hospital, Vassileos Pavlou 1, Voula, 16673 Athens, GreeceChondrosarcoma is the third most common primary malignant bone tumor after osteosarcoma and Ewing’s sarcoma. Clear cell chondrosarcoma is a rare subtype variant of chondrosarcoma, most commonly encountered in the proximal part of the femur or humerus. Vertebral involvement is exceedingly rare and shows a predilection for the thoracic spine. We report the case of a woman with clear cell chondrosarcoma of the thoracic spine, which has been surgically excised, and review the pertinent literature (PubMed). Although it has a reasonably benign biological behavior, clear cell chondrosarcoma needs to be treated as a malignancy. The best treatment for spinal chondrosarcoma is surgery. It should be promptly and adequately resected. Gross-total resection should be the ultimate surgical goal. Radiation therapy should also be considered, especially in the case of subtotal resection or inoperable lesions. In conclusion, it is important to keep in mind this entity in the differential diagnosis of spinal tumors, in order to optimize treatment planning. With adequate treatment, local recurrence rates as low as 20% can be achieved.http://dx.doi.org/10.1155/2012/693137
spellingShingle Nikolaos A. Paidakakos
Aristides Rovlias
Evaggelos Rokas
Spyridon Theodoropoulos
Patroklos Katafygiotis
Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
Case Reports in Oncological Medicine
title Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
title_full Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
title_fullStr Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
title_full_unstemmed Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
title_short Primary Clear Cell Chondrosarcoma of the Spine: A Case Report of a Rare Entity and a Review of the Literature
title_sort primary clear cell chondrosarcoma of the spine a case report of a rare entity and a review of the literature
url http://dx.doi.org/10.1155/2012/693137
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