Distal radius chondrosarcoma in a 35-year-old female patient: A case report

• Published in: Clinical case reports Vol. 11; no. 10; pp. e8069 - n/a
• Main Authors: Sahito, Badaruddin, Shah, Hussain Haider, Zehra, Syeda Alishah, Saquib, Javeria, Ahmed, Farea, Hussain, Muhammad Sheheryar, Dave, Tirth
• Format: Journal Article
• Language: English
• Published: England John Wiley & Sons, Inc 01.10.2023; John Wiley and Sons Inc; Wiley
• Subjects: Acute Medicine; Amputation; Biopsy; Bone surgery; Cartilage; Case Report; Case reports; Chemotherapy; chondrosarcomas; dedifferentiated chondrosarcoma; distal radius; elbow; Histology; Medical prognosis; Metastasis; Skin & tissue grafts; Tumors; distal radius; elbow; dedifferentiated chondrosarcoma; chondrosarcomas
• ISSN: 2050-0904; 2050-0904
• DOI: 10.1002/ccr3.8069

Chondrosarcoma, although rare in the distal radius, poses significant challenges. Early diagnosis through incisional biopsy is essential. Surgical resection with margin control and fibular grafting can be effective, but vigilant surveillance is crucial due to its aggressive nature. Metastasis demands consideration of additional interventions or palliative care. Chondrosarcomas constitute a rarity in the upper limbs, and their occurrence in the distal radius is even rarer with only one case previously documented. We report a case of distal radius chondrosarcoma in a 35-year-old female patient who presented with pain and swelling in her left wrist. Following an initial examination, an incisional biopsy was performed, confirming the diagnosis of dedifferentiated chondrosarcoma. The patient underwent a marginal resection of the distal radius and first carpal with ipsilateral fibular and locking compression plate fixation. Unfortunately, despite the interventions, the patient experienced recurrent swelling and ultimately required below-elbow amputation, followed by above elbow amputation due to metastasis. Unfortunately, the patient passed away due to recurrence and metastasis.