Display options
Share it on

Sarcoma. 2014;2014:647939. doi: 10.1155/2014/647939. Epub 2014 Mar 05.

Synovial chondrosarcoma arising in synovial chondromatosis.

Sarcoma

Scott Evans, Michele Boffano, Samena Chaudhry, Lee Jeys, Robert Grimer

Affiliations

  1. Royal Orthopaedic Hospital, Birmingham B31 2AP, UK.

PMID: 24737946 PMCID: PMC3967817 DOI: 10.1155/2014/647939

Abstract

Primary synovial chondromatosis (SC) is a rare proliferative disorder that causes pain, swelling, and restriction of movement to the joints it affects. The disease frequently runs a protracted course, often requiring multiple surgical procedures to obtain some control. Few reports exist detailing the natural history of SC, although malignant transformation to synovial chondrosarcoma (CHS) is recognized to be a rare event. The aim of our study was to review a large orthopaedic oncology database in order to evaluate the incidence of CHS arising from SC. We identified 78 patients who have presented to our centre with primary synovial chondromatosis (SC). Of those patients, 5 went on to develop malignant change. This represents a 6.4% incidence of developing synovial chondrosarcoma (CHS) within preexisting primary synovial chondromatosis. The patients had a mean age of 28 years at first diagnosis with synovial chondromatosis with the median time from original diagnosis to malignant transformation being 20 years (range 2.7-39 yrs).

References

  1. Can J Surg. 1976 Mar;19(2):151-8 - PubMed
  2. Sarcoma. 2003;7(2):69-73 - PubMed
  3. Skeletal Radiol. 2011 Oct;40(10):1375-81 - PubMed
  4. Skeletal Radiol. 2005 Nov;34(11):707-13 - PubMed
  5. Hum Pathol. 1998 Jul;29(7):683-8 - PubMed
  6. Radiol Clin North Am. 1996 Mar;34(2):327-42, xi - PubMed
  7. Skeletal Radiol. 1997 Nov;26(11):682-5 - PubMed
  8. J Bone Joint Surg Am. 1977 Sep;59(6):792-801 - PubMed
  9. Chir Organi Mov. 2008 Dec;92(3):139-44 - PubMed
  10. Skeletal Radiol. 1997 Jun;26(6):366-9 - PubMed
  11. Cancer. 1991 Jan 1;67(1):155-62 - PubMed
  12. J Bone Joint Surg Br. 2007 Nov;89(11):1504-8 - PubMed
  13. Skeletal Radiol. 2003 May;32(5):302-5 - PubMed
  14. Radiographics. 2007 Sep-Oct;27(5):1465-88 - PubMed
  15. Eur Radiol. 2002 Aug;12(8):2112-9 - PubMed
  16. Eur J Radiol. 2009 Oct;72(1):38-43 - PubMed

Publication Types