Secondary chondrosarcoma is a malignant (cancerous) tumor that originates from a pre-existing cartilaginous tumor such as an osteochondroma or enchondroma.
Secondary Chondrosarcoma is a low-grade, cancerous tumor. It is a type of bone sarcoma. The majority of secondary chondrosarcomas are associated with pre-existing diagnoses, including osteochondromas, Ollier’s disease, Maffucci syndrome, or Hereditary Multiple Exocitis (HME). Without the appropriate treatment, secondary chondrosarcomas may metastasize, or spread throughout the body.
Secondary Chondrosarcoma is a malignant, or cancerous, tumor that originates from a pre-existing cartilaginous tumor such as an osteochondroma or enchondroma. Although low-grade, secondary chondrosarcoma can dedifferentiate and becomes more aggressive and grows rapidly with a very high chance of metastasizing (spreading to lungs or other bones most commonly). There is also a risk of recurrence if they tumor is not completely removed. Proper and effective treatment is necessary to decrease the risks of recurrence and metastasis.
Radiographic imaging is used to help form a diagnosis of secondary chondrosarcoma. These include X-Ray, MRI, CT and Bone Scans.
An example of an X-Ray is shown.
The most common treatment for secondary chondrosarcoma includes a limb-sparing surgery. Wide and radical resections and reconstruction are commonly performed. Chemotherapy and radiation are only used in select cases, as most chondrosarcomas do not respond to chemotherapy or radiation.
Surgical treatment includes wide or radical resections to remove the complete tumor and additional margins. The removal of additional, surrounding margins ensures that the tumor is completely removed and decreases the chances of the tumor coming back.
Chemotherapy is a systemic treatment option for some cancers, meaning the chemotherapy drugs travel throughout the body and can kill the cancerous cells that have metastasized, or spread throughout. Chemotherapy is used to treat cancer, control/prevent cancer from spreading, and ease the symptoms related to the cancer. There are various drugs used in chemotherapy, so the combinations of drugs administered and the number of cycles may differ between each person and tumor. Lastly, chemotherapy may be used in conjunction with other treatments, specifically local treatments such as surgery.
Radiation is a treatment option for some cancers. Radiation therapy is a localized treatment that utilizes high-energy particles or waves to kill cancerous cells. Because radiation therapy is a localized treatment, it only affects the area in which it is set to target and therefore eliminates the risks of damaging healthy cells throughout the body. Not only is it used to treat cancer, but it can also decrease the chances of the cancer from recurring. Lastly, radiation may be used in conjunction with other treatments, such as surgery or chemotherapy, to treat cancers.
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Myself and my amazing team are dedicated to saving your life and your limb. Losing a limb because of a tumor can be a terrifying experience. But, it does not have to be the only option. I’ve spent 20+ years as a Board-Certified Orthopedic Surgeon and Orthopedic Oncologist.
I’ve devoted my career to helping children and adults afflicted with bone and soft tissue masses by performing complex limb saving surgeries. Most patients can have their limb saved, which may require innovative techniques.
Patients afflicted with musculoskeletal tumors have complex conditions that are best taken care of at large hospitals. I am the Chairman of Orthopedics and Chief of Orthopedic Oncology at Morristown Medical Center. My philosophy is a multidisciplinary team approach, working together to tailor treatment to individual patients. Education and research are essential to my practice, providing the best setting for extraordinary patient care. Because of this, we have some of the top results in the country.