Anatomic Pathology: Bone and Joint Pathology

608) Which of the following statements is FALSE?

• Chondrosarcoma is a malignant tumor of cartilage, which most commonly affects the large, flat bones of the axial skeleton, such as the pelvis, scapula, and sternum, and less frequently affects the long bones.

• It is the second most common malignant neoplasm of bone in adults.

• Radiographic signs include endosteal scalloping, cortical thickening, and the presence of a soft tissue mass.

• Classic chondrosarcoma is divided into three grades, based on cellularity, nuclear pleomorphism, and degree of atypia. Most chondrosarcomas are grades 1 and 2.

• In the long bones, borderline malignancy (locally aggressive tumor) is suggested by a moderate increase in cellularity and relatively mild atypia.

• The natural history of chondrosarcoma is characterized by repeated local recurrences before metastases (grade 2 and 3 tumors). The treatment of choice is wide surgical excision. Adjunctive radiotherapy and chemotherapy is reserved for dedifferentiated tumors.

Bullough PG: Orthopaedic Pathology, 4th ed. St. Louis: Mosby, 2004.

Cotran RS, Kumar V, Collins T (eds): Robbins Pathologic Basis of Disease, 6th ed. Philadelphia: Saunders, 1999.

Dorfman HD, Czerniak B (eds): Bone Tumors. St. Louis: Mosby, 1998.

 
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