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Wide resection alone
53%
302/572
Resection and chemotherapy
17%
99/572
Intralesional curettage and grafting
18%
104/572
Forequarter amputation
6%
32/572
Radiation therapy and prophylactic internal fixation
4%
21/572
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The radiographs and histology are consistent with a clear cell chondrosarcoma. The treatment is wide resection. No chemotherapy is indicated because this is a locally aggressive tumor with minimal risk of metastasis. Intralesional curettage may be appropriate for a benign bone tumor but not for a clear cell chondrosarcoma. Amputation and radiation therapy are not indicated to achieve local disease control. This case illustrates the occasional problems with diagnosis of this tumor.
2.5
(10)
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