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Topic:
Issue:
Category:
Oncology
Title:
Chondroblastomas in Children and Young Adults: Revision of 55 Cases
Author:
Brunet, Laia MD; Torner, Ferran MD, PhD; Suñol, Mariona MD; Martínez, Judit MD; Gracia, Isidre MD; Peiró, Ana MD; Machado, Pau MD
Journal:
Journal of Pediatric Orthopaedics
Date:
February 2024
Reference:
44(2): p e184-e191, DOI: 10.1097/BPO.0000000000002589
Level Of Evidence:
IV
# of Patients:
55
Study Type:
Observational retrospective study
Location:
Two hospitals in Barcelona, Spain
Summary:
The study reviews 55 cases of chondroblastomas in children and young adults, focusing on tumor location, clinical presentation, recurrence, and treatment methods.
Methods:
Retrospective review of clinical, imaging, histopathological data, and treatment outcomes from 1988 to 2018. Recurrence rates were analyzed in relation to the surgical approach, anatomical location, and histopathological features.
Exclusions:
Not specified
Results:
Most tumors were located in the distal femur metaphyseal/epiphyseal region. The most common symptom was pain. 81.8% of patients underwent curettage, and 7.3% had wide resection. 85.7% received bone substitutes post-surgery. The recurrence rate was 9.1%, but no significant correlation was found between recurrence and surgery type, tumor location, or histopathological findings. All recurrent cases were treated surgically, with a 100% healing rate.
Conclusions:
Chondroblastomas are rare bone tumors commonly found in the epiphyses of long bones. Curettage with bone substitutes provides good outcomes, but recurrence is common. Careful surgical technique and surgeon expertise are critical for successful treatment.
Relevance:
Limitations:
Perspective: