Evidence map›Paper›PMID 39713913›Full record

ArticleActa orthopaedica2024

Clinical outcome of curettage in atypical cartilaginous tumors of the long bones: a descriptive cohort study.

Claire H J Scholte, Michiel A J Van de Sande, Robert J P Van der Wal, Demien Broekhuis, Kirsten Van Langevelde, Desirée M J Dorleijn

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Article in Acta orthopaedica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

6 authors.

Claire H J ScholteDepartment of Orthopedics, Leiden University Medical Centre, Leiden, The Netherlands. c.h.j.scholte@lumc.nl.
Michiel A J Van de SandeDepartment of Orthopedics, Leiden University Medical Centre, Leiden, The Netherlands.
Robert J P Van der WalDepartment of Orthopedics, Leiden University Medical Centre, Leiden, The Netherlands.
Demien BroekhuisDepartment of Orthopedics, Leiden University Medical Centre, Leiden, The Netherlands.
Kirsten Van LangeveldeDepartment of Radiology, Leiden University Medical Centre, Leiden, The Netherlands.
Desirée M J DorleijnDepartment of Orthopedics, University Hospital Ghent, Ghent, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDespite evolving management strategies for atypical cartilaginous tumors (ACT)-shifting from radical resection to intralesional curettage and "wait-and-scan" approaches-there remains no universal consensus on optimal treatment. We primarily aimed to evaluate disease-specific and progression-free survival following intralesional curettage and adjuvant phenol treatment of ACTs. Secondary aims included assessing surgical complications, the need for additional interventions, and an overview of long-term follow-up.

methodsThis retrospective cohort study of 388 ACT patients was conducted at a tertiary referral center from 2000 to 2019. Comprehensive data collection included demographics, tumor characteristics, and follow-up outcomes.

resultsResidual disease was observed in 14% (n = 53) of cases, with continued growth on sequential imaging in one-fourth (n = 13 of 53). Postoperative fractures occurred in 10% (n = 37) after a mean of 7 months, and 16% (n = 61) required a second surgery due to pain or joint movement limitations. There was no malignant progression or mortality observed.

conclusionWe found that curettage for ACT is not associated with mortality or malignant progression but does carry risks of complications and residual disease. This raises important questions regarding the necessity of surgical intervention. Further research is needed to refine the treatment approach for ACT.

Indexed as

Bone NeoplasmsCurettageAdolescentAdultAgedChildChondromaCohort StudiesFemaleHumansMaleMiddle AgedNeoplasm, ResidualRetrospective StudiesTreatment OutcomeYoung Adult

Identifiers

PMID39713913
PMCPMC11664434

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.