Grade I and II Chondrosarcoma of the Humerus

상완골에서 발생한 Grade I 및 Grade II 연골육종 - 증례 보고 -

  • Cho, Wan-Hyeong (Department of Orthopedic Surgery, Korea Cancer Center hospital) ;
  • Jeon, Dae-Geun (Department of Orthopedic Surgery, Korea Cancer Center hospital) ;
  • Park, Jong-Hoon (Department of Orthopedic Surgery, Korea Cancer Center hospital) ;
  • Song, Won-Seok (Department of Orthopedic Surgery, Korea Cancer Center hospital) ;
  • An, Joon-Hwan (Department of Orthopaedic Surgery, Seoul National University College of Medicine) ;
  • Lee, Soo-Yong (Department of Orthopedic Surgery, Korea Cancer Center hospital)
  • Published : 2006.12.30

Abstract

Chondrosarcoma can be divided into grade I, II and III by histological finding and a relationship between the prognosis and the histological grading has been identified. Although the surgical treatment of grade II and III chondrosarcoma necessitates wide resection margin, there has been controversy about curettage versus wide resection in case of grade I chondrosarcoma. The authors report a case of grade I chondrosarcoma of proximal humerus and grade II chondrosarcoma of distal humerus with good oncological and functional result through curettage and wide resection respectively.

연골육종은 조직학적 소견에 따라 grade I, II, III로 나누어지며 예후와도 깊은 관련이 있다. Grade II 및 III의 연골육종의 수술 시 광범위 절제를 주로 시행하나 grade I 연골육종의 경우에는 소파술과 광범위 절제술 사이에 이견이 많다. 저자들은 상완골의 근위부에 grade I, 원위부에 grade II의 연골육종이 발생한 경우에 grade I은 소파술을, grade II는 광범위 절제술을 시행한 경험을 하였기에 보고하는 바이다.

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