"Unusual Low-Grade Spindle Cell Sarcoma Pattern of Dedifferentiation Occurring in Chondrosarcoma: A Case Report"

Christopher John Wilson
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Abstract

Chondrosarcoma is a cartilage forming tumour, typically found in flat bones such as the ilium. It is known to have a male preponderance and encountered in the older age group. The lesions are locally aggressive, and onset of symptoms is gradual. Dedifferentiated chondrosarcoma typically has 2 microscopic components, whereby the low-grade cartilaginous lesion is seen with a high grade sarcomatous component with an abrupt transition between the 2 zones [1]. This pattern of dedifferentiation occurs in about 10% of chondrosarcomas [2,3]. The femur is involved in about 30% of these lesions and majority of the tumors are seen beyond the sixth decade [1]. We report an unusual pattern of dedifferentiation occurring in a chondrosarcoma where the pattern of dedifferentiation was that of a low-grade spindle cell sarcoma.
软骨肉瘤发生异常低级别梭形细胞型去分化1例
软骨肉瘤是一种形成软骨的肿瘤,通常见于髂骨等扁平骨。已知它有男性优势,并在老年群体中遇到。病变是局部侵袭性的,症状是逐渐出现的。去分化软骨肉瘤通常有两个显微组成部分,其中低级别软骨病变与高级别肉瘤组成部分在两个区域之间突然过渡[1]。这种去分化模式发生在约10%的软骨肉瘤中[2,3]。股骨约占这些病变的30%,大多数肿瘤在60岁以后才出现[1]。我们报告一个不寻常的去分化模式发生在软骨肉瘤,其中去分化的模式是低级别梭形细胞肉瘤。
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