XXXX with late presentation: review of treatment and outcome.

@entity5 @entity1
PURPOSE: To review cases of @entity5 managed at the University Malaya Medical Center, University of Malaya, Kuala Lumpur, from January 1990 to December 1999. METHODS: Medical records of all @entity1 with @entity5 were reviewed. Demographic data, clinical presentation, surgical management, and clinical outcomes were reviewed retrospectively. RESULTS: Most of the 31 @entity1 who were treated for @entity5 presented late on the basis of the duration of their symptoms and radiological features. Five of the @entity1 had been referred for local recurrences. 26 @entity1 were treated for primary @entity5 : 18 needed wide excision, 7 curettage, and one amputation. The joint could not be preserved and arthrodesis was performed for 11 @entity1 . Three (12%) of the 26 @entity1 had local recurrence during a mean follow-up of 60 months, including one (6%) who had recurrence after wide excision and 2 (29%) after curettage. Pulmonary metastasis was noted in 4 cases, 2 of which were confirmed histologically. CONCLUSION: Even in an advanced stage of disease, good clinical outcomes can be achieved with adequate excision and appropriate reconstruction. For lesions around the knee, autologous rotational grafting is a good alternative method of reconstruction.
