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KMID : 1099620090060040280
Korean Journal of Spine
2009 Volume.6 No. 4 p.280 ~ p.284
Surgical Treatment of a Large Regrowing Chondrosarcoma in the Upper Thoracic Spine with Osteochondromatosis
Ji Cheol

Ahn Jae-Geun
Huh Han-Yong
Park Chun-Kun
Abstract
A chondrosarcoma of thoracic spine with local recurrence is described in a 40?year?old man having osteochondroma- tosis. We had performed a subtotal resection of a chondrosarcoma 3.5 years ago. However, the tumor had grown larger than the initial size. The patient showed symptoms of myelopathy. He was treated with a staged posterior spinal fusion and anterior decompression/corpectomy for grossly total removal of the chondrosarcoma. The patient had near?complete resolution of his myelopathy after surgery, immediatly. Follow?up at 6 months revealed no recur- rence and the patient had recovered normal muscle power. Even low grade chondrosarcomas have a high recur- rence rate and respond poorly to medical treatments such as chemotherapy or radiotherapy, making total surgical resection is the most important treatment. For good therapeutic results, the chondrosarcoma should be performed aggressive total resection.
KEYWORD
Chondrosarcoma, Osteochondromatosis, Thoracic spine
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