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Hemipelvectomy for the treatment of high-grade sarcomas: Pronostic of chondrosarcomas compared to other histological types
- Source :
- Revista Española de Cirugía Ortopédica y Traumatología (English Edition). 60:67-74
- Publication Year :
- 2016
- Publisher :
- Elsevier BV, 2016.
-
Abstract
- Introduction The low incidence and histological heterogeneity of primary sarcomas located in the pelvis make it difficult to find homogeneous cohorts. Objective To describe the life and functional prognosis depending on the histological type of sarcoma in a series of locally advanced high-grade pelvis located sarcomas treated by hemipelvectomy. Methods A descriptive epidemiological and functional study was conducted on 15 cases treated between 2006 and 2012. Survival analysis, functional assessment, and a comparative study by histological type were performed, comparing chondrosarcomas to other histological diagnoses. Results The most frequent histological type was chondrosarcoma (46%), and the most frequent location was P2 (periacetabular) (73%). An internal hemipelvectomy was performed in 66% of cases, with a higher incidence (83%) in chondrosarcomas. Overall two-year survival was 54%, with higher survival in the chondrosarcoma group (67%) than in the other sarcomas (43%). Functional status depended on the type of intervention, with no differences in histological type or the performance of the reconstruction. Discussion and conclusions Hemipelvectomy is a surgical procedure that is indicated for the treatment of locally advanced high grade pelvis located sarcomas, regardless of histological type. The incidence of limb preservation and overall survival is higher in chondrosarcomas compared to other sarcomas.
- Subjects :
- 030222 orthopedics
medicine.medical_specialty
business.industry
Incidence (epidemiology)
medicine.medical_treatment
Locally advanced
medicine.disease
Surgery
03 medical and health sciences
Hemipelvectomy
0302 clinical medicine
medicine.anatomical_structure
Homogeneous
030220 oncology & carcinogenesis
medicine
Orthopedics and Sports Medicine
Sarcoma
Chondrosarcoma
business
Survival analysis
Pelvis
Subjects
Details
- ISSN :
- 19888856
- Volume :
- 60
- Database :
- OpenAIRE
- Journal :
- Revista Española de Cirugía Ortopédica y Traumatología (English Edition)
- Accession number :
- edsair.doi...........aeced42bde087781b9bcd643bff0c58f