Mähring M, Ratzenhofer M, Scholz R
Handchirurgie. 1977;9(3):119-23.
First description of repeated recurrence of a myxochondrosarcoma of the second metacarpal, most probably beginning as a central chondrosarcoma and within few months, after destroying the cortex, spreading into the soft tissues as a myxosarcoma. As it consisted mainly of chondroid material it is to be classified as a chondrosarcoma while histologically it showed small spindle cell and angiomatous areas. The rarity, pathological anatomy and clinical therapeutic experience with chondrosarcoma oft the hand with its greater tendency to metastasize from there than from other locations are discussed. The morphological differences between the common secondary myxoid degeneration of chondrosarcoma and the rare primary myxosarcoma are accentuated.
首次描述第二掌骨黏液软骨肉瘤的反复复发,最可能最初为中央型软骨肉瘤,在数月内破坏皮质后,作为黏液肉瘤扩散至软组织。因其主要由软骨样物质构成,故应归类为软骨肉瘤,而组织学上它显示有小梭形细胞和血管瘤样区域。文中讨论了手部软骨肉瘤的罕见性、病理解剖及临床治疗经验,其从手部转移的倾向大于其他部位。强调了软骨肉瘤常见的继发性黏液样变性与罕见的原发性黏液肉瘤之间的形态学差异。