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CTOS update 11/4/2006. ACOSOG Z9041/SWOG 0344. A Phase II Surgical Trial of Intralesional Resection of Low-Grade Intracompartmental Chondrosarcoma of Bone. Entry criteria. Low grade chondrosarcoma Radiologic- 2 but no more than 4 of: Permeative medually bone (tumor around trabeculae
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CTOS update 11/4/2006 ACOSOG Z9041/SWOG 0344 A Phase II Surgical Trial of Intralesional Resection of Low-Grade Intracompartmental Chondrosarcoma of Bone
Entry criteria • Low grade chondrosarcoma • Radiologic- 2 but no more than 4 of: • Permeative medually bone (tumor around trabeculae • Endosteal scalloping > 50% cortex • Cortical thickening • Expansion of bone • Positive uptake on bone scan • Age > 18 years • No prior surgery (other than bx)
Treatment • Manual curettage • High speed burr • Contrast study of cavity • Adjuvants: Liq N2, phenol, ethanol, or argon beam • Fill cavity w/ cement or bone graft • Surveillance f/u
Timeline • Activated in SWOG 12/1/2004 • Activated in ACOSOG 4/2005 • Open sites: • 1/14/2005: 20 • 6/23/05: 49 • 10/30/06: 55
Current accrual as of 10-2006 7 - Utah, U of 3 - ACOSOG/Univ Florida Jacksonville (ACOSOG, 9977) 1 - ACOSOG/University of Minnesota (ACOSOG, 9977) 2 - ACOSOG/State University of NY Upstate Medical University (ACOSOG, 9977) 4 - New Mexico MBCCOP _________________________ 17 total Accrual target = 60
CHSA study network Conrad, Bruckner Buckwalter Cheng, Clohisy Bell, Wunder Damron Hackbarth Biermann Weiner Terek Springfield Lane Benevento Randall Weber, Aboulafia Berrey O’Connor Quinn Maale Rosenthal Pitcher