Chondrosarcoma

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Sections available in full article Introduction, Presenting signs, Acute presentation, Age predisposition, Breed predisposition, Cost considerations, Pathogenesis, Etiology, Pathophysiology, Timecourse (incubation, duration), Diagnosis, Presenting problems, Client history, Clinical signs, Diagnostic investigation, Confirmation of diagnosis, Gross autopsy findings, Histopathology findings, Differential diagnosis, Treatment, Standard treatment, Monitoring, Sequelae, Prognosis, Expected response to treatment, Reasons for treatment failure, Sources, Publications, Vetstream contributor(s),
Contributors Prof Walter Renberg DVM MS DipACVS
Synonyms CSA

Introduction

  • Account for <10% of primary bone tumors.
  • Most commonly affect axial skeleton, ie flat bones.
  • Arise from cartilage - malignant, metastasizing primarily to lung.
  • Incidence: mostly axial skeleton of large (not giant) breeds.
  • Signs : lameness, swelling +/- pain.
  • Diagnosis : radiography, histopathology.
  • Treatment : limb amputation/bone resection.
  • Prognosis : good for low-grade tumors following early treatment; poor for high-grade tumors of long bones (slower growing and lower metastatic rate than osteosarcoma Osteosarcoma ).

Diagnosis

Clinical signs

  • Swelling at tumor site, may be painful.
  • Muffled lung sounds (pleural effusion).

Diagnosis

Differential diagnosis

  • Other primary bone tumors Bone: neoplasia.
  • Secondary bone tumors Bone: neoplasia.
  • Osteomyelitis Osteomyelitis.
  • Abscess.
  • Trauma.

Sequelae

Prognosis

  • Good following early treatment of low-grade tumor.
  • Guarded/poor where high-grade tumor.
  • Median survival 1.5 years after amputation.
  • Nasal tumors may be more difficult to resect and therefore more likely to recur.

Expected response to treatment

  • Metastasis and local recurrence are possible after surgical treatment.

Reasons for treatment failure

  • Metastasis prior to presentation.
  • Treatment delayed.
  • High-grade tumor not treated radically.

Sources

Publications

Refereed papers

  • Davidson J R (1995) Canine and feline chondrosarcoma. Comp Cont Educ 17 (9), 1109-1114.
  • Pupovitch C A, Weinstein M J, Goldschmidt M H & Shafer P S (1994) Chondrosarcoma - a retrospective study of 97 dogs (1987-1990) JAAHA 30 , 81-85.

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