DNA ploidy of a case with dedifferentiated periosteal chondrosarcoma was an
alyzed by DNA cytofluorometry. The diagnosis of primary periosteal chondros
arcoma was made on the basis of the radiographic and histological findings.
At 4 years after marginal resection, the tumor recurred locally and metast
asized to various organs. The patient died of disease 2 years later. Histol
ogically, there were two components, chondrosarcoma and malignant fibrous h
istiocytoma, in the recurrent and metastatic tumors. DNA ploidy analysis of
multiple samples revealed that the primary lesion was composed of many dip
loid cells with some tetraploid and octaploid cells, whereas in the dediffe
rentiated area, there were many aneuploid cells which were not recognized i
n any area of the primary tumors. This case illustrated that DNA ploidy alt
eration of euploidy to aneuploidy is closely correlated with the process of
dedifferentiation in chondrosarcoma.