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Chondrosarcoma
Chondrosarcoma
A malignant cancer whose tumor cells
produce a pure hyaline cartilage that
results in abnormal bone and cartilage
growth.
Histologic classification
• Conventional chondrosarcoma
• Dedifferentiated chondrosarcoma
• Mesenchymal chondrosarcoma
• Clear cell chondrosarcoma
• Most common subtype of
chondrosarcoma
• Usually ages 30 - 60 years, 75%
males
Conventional
Prognosis
The best and most commonly used
marker at present is histological
grade.
Grades classification
• Grade I (low grade) – Cytological
similar to enchondroma
• Grade II (intermediate grade) –
Characterized by a definite and
increased cellularity
• Grade III (high grade) –
Characterized by high cellularity
Etiology of the disease
• Chondrosarcoma is associated with
certain genetic mutation
• Age
• Food
• Smoking
• Chemicals
Incidence
• The estimated overall incidence of
CHSs is 1 in 200,000 per year
symptom
• Increasing pain
• A swelling or palpable mass
• Fracture due to weakened bone
Medical diagnosis
• Bone x-ray
• Core needle biopsy
• Open or surgical biopsy
• MRI scan
• CT scan
• Bone scan
Molecular diagnosis
• Immunohistochemistry MDM2 &
CDK4
• Bcl-2 is a good diagnostic marker
that can be used in the distinction
between osteochondroma and
low-grade secondary peripheral
chondrosarcoma
Medical treatment
Surgery
• Wide resection
• Curettage
Radiation therapy
Chemotherapy
Molecular treatment
• Targeting apoptosis pathways and
inducing cell death directly or by
enhancing the response of
malignant cells to chemotherapeutic
agents and radiation therapy
Small-interfering (si) RNA targeting
Bcl-2 family members reverse
chemoresistance suggesting that
Bcl-2 family gene silencing may be a
therapeutic target for
chondrosarcomas
chondrosarcoma

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chondrosarcoma