Condrosarcoma
Vista determinista de la entidad fuente YAML. La autoridad clínica sigue con los ID de fuente citados y estado de firma del revisor.
| ID | DIS-CHONDROSARCOMA |
|---|---|
| Tipo | Enfermedad |
| Aliaces | Sarcoma cartilaginosoХондросаркома |
| Situación | reviewed 2026-04-27 | pending_clinical_signoff |
| Enfermedades | Ninguna declarada |
| Fuentes | SRC-NCCN-NSCLC-2025 |
Informational support. All recommendations must be verified by a qualified oncologist. Engineering checks are not clinical validation or treatment approval.
| icd_o_3_morphology | 9220/3 |
|---|---|
| icd_o_3_topography | ["C40", "C41"] |
| icd_10 | C40, C41 |
| who_classification | WHO Soft Tissue and Bone Tumours 5th ed (2020): Chondrosarcoma — conventional, dedifferentiated, mesenchymal, clear cell subtypes |
Notas
Cartilaginous primary bone neoplasm — historically considered chemotherapy-resistant and radiotherapy-resistant. Surgery is the principal treatment. Subtypes: - Conventional (~85%): IDH1/2 mutant ~50%; surgery + risk-adapted follow-up; metastatic disease has limited systemic options. - Dedifferentiated (~10%): biphasic — chondrosarcoma + high-grade sarcoma component; behaves like high-grade sarcoma; doxorubicin- based chemotherapy + surgery. - Mesenchymal (~3-5%): small-round-blue-cell biology; HEY1-NCOA2 fusion; pediatric / young adult; chemo-sensitive (Ewing-like protocols). - Clear cell (~2%): low-grade; surgery. Targeted therapy: - IDH1 R132 mutant (~40-50% of conventional): ivosidenib has activity in advanced unresectable IDH1-mutant chondrosarcoma (Tap et al JCO 2020) — small phase 1 cohort, durable disease control; not yet FDA-approved for chondrosarcoma but used off-label. - IDH2 mutant: enasidenib in similar exploratory setting. Niche actionability — represents a small but real precision-oncology signal in a disease historically without systemic options.
Utilizado por
Algoritmos
ALGO-CHONDROSARCOMA-1L- ALGO-CHONDROSARCOMA-1LALGO-STS-ADVANCED-1L- ALGO-STS-ADVANCED-1L
Enfermedad
DIS-OSTEOSARCOMA- Osteosarcoma
Indicación
IND-CHONDROSARCOMA-ADVANCED-DOXORUBICIN- IND-CHONDROSARCOMA-ADVANCED-DOXORUBICIN
Cuestionarios
QUEST-CHONDROSARCOMA-1L-STUB- Condrosarcoma — primera línea
Señal de alerta
RF-CHONDROSARCOMA-FRAILTY-AGE- Edad ≥75 con ECOG ≥2 o ≥2 comorbidades — resección ósea en bloque amplia con reconstrucción...RF-CHONDROSARCOMA-HIGH-RISK-BIOLOGY- Subtipo adverso o característica molecular en el condrosarcoma: subtipo desdi...RF-CHONDROSARCOMA-INFECTION-SCREENING- Infección activa o latente que requiere resolución / profilaxis antes de iniciar doxorúbica...RF-CHONDROSARCOMA-ORGAN-DYSFUNCTION- Disfunción de los órganos basales que excluye la doxorrubicina ifosfamide- Quimioterapia basada en...RF-CHONDROSARCOMA-TRANSFORMATION-PROGRESSION- Recurrencia local dentro de la cama quirúrgica, nuevas metástasis pulmonares en la TAC de vigilancia, ma...