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Curettage
1%
38/3602
Marginal excision
2%
71/3602
Wide excision
86%
3091/3602
Chemotherapy then wide excision
10%
355/3602
Hip disarticulation amputation
28/3602
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The treatment of choice for chondrosarcoma is wide excision, which has better survival than marginal resection or intralesional resection. The rate of recurrence is variable with grade-3 or dedifferentiated tumors having the worst prognosis. Lee et al. describe outcomes based on resection type and tumor stage and grade. Adjuvant radiation and chemotherapy are generally only used in patients with mesenchymal or dedifferentiated chondrosarcoma or in grade-3 pelvic chondrosarcomas where complete resection is technically difficult and these adjuvant treatments are intended to reduce local recurrence.
3.8
(19)
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