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The handle http://hdl.handle.net/1887/43475 holds various files of this Leiden University dissertation

Author: Verdegaal, Suzan H.M.

Title: Diagnostics and treatment options in low-grade central chondrosarcomas

Issue Date: 2016-10-12

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DIAGNOSTICS AND

TREATMENT OPTIONS IN LOW-GRADE CENTRAL CHONDROSARCOMAS

SUZAN H.M. VERDEGAAL

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Diagnostics and treatment options in low-grade

central chondrosarcomas

Diagnostics and treatment options in low -grade central chondrosarcomas Suzan H .M. V erdegaal

Suzan H.M. Verdegaal

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Voor Marijke, Lucas en Matt hijs

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Suzan H.M. Verdegaal

Diagnostics and treatment options in low-grade central chondrosarcomas Thesis, Leiden University Medical Center, Leiden, The Netherlands

ISBN: 978-94-028-0177-4

Layout and cover design: Welmoed Schmidt Printing: Aanzet Grafische Vormgevers

Copyright © 2016 by S.H.M. Verdegaal. All rights reserved. No part of this book may be reproduced in any form without written permission of the author.

The publication of this thesis was financially supported by:

Nederlandse Orthopaedische Vereniging Anna Fonds te Leiden

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Diagnostics and

treatment options in low-grade central chondrosarcomas

PROEFSCHRIFT

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden op gezag van

Rector Magnificus Prof. mr. C.J.J.M. Stolker volgens het besluit van het College voor Promoties te verdedigen op

12 oktober 2016 klokke 16.15 uur door

Suzanna Henrica Maria Verdegaal

geboren te Leiden in 1971

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Promotoren: Prof. dr. A.H.M. Taminiau Prof. dr. P.C.W. Hogendoorn

Leden: Prof. dr. J.L. Bloem

Prof. dr. R.G. Forsyth, Vrije Universiteit Brussel, België Prof. dr. A.J. Gelderblom

Dr. P.C. Jutte, Universitair Medisch Centrum, Groningen

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Table of content

Chapter 1

General introduction 9

Chapter 2

Incidence, predictive factors and prognosis of chondrosarcoma in patients with Ollier disease and Maffucci syndrome: an international multicenter

study of 161 patients 21

Chapter 3

The cytotoxic effect of phenol and ethanol on the chondrosarcoma-derived cell line OUMS-27, an in vitro experiment 43

Chapter 4

Phenol levels during intralesional curettage and local adjuvant treatment of benign and low-grade malignant bone tumours 57

Chapter 5

Low-grade chondrosarcoma of long bones treated with intralesional

curettage followed by application of phenol, ethanol and bone-grafting 71

Chapter 6

MR imaging of atypical cartilaginous tumour/grade I central chondro- sarcoma after curettage and phenol application; recommendations

for follow-up 89

Chapter 7

Summary, discussion and concluding remarks 105

Chapter 8

Nederlandse samenvatting 113

Chapter 9

List of publications 119

Chapter 10

Curriculum Vitae 125

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