Giant chondrosarcoma of the chest wall: a rare surgical challenge
Autops. Case Rep
;
10(3): e2020166, 2020. graf
Artículo
en Inglés
| LILACS
| ID: biblio-1131826
ABSTRACT
The chest wall chondrosarcoma (CWC) is a rare slowly growing primary tumor of the chest wall with an incidence of <0.5 per million person-years. We present the case of a giant CWC that caused a mass effect on the mediastinum, heart, and lung. Large tumors with thoracic structures compression may be life threatening, and its resection and subsequent chest wall reconstruction represent a significant multidisciplinary surgical challenge. In this case, despite the large tumor dimensions, the preoperative planning—sparing key reconstructive options without compromising the tumor resection—allowed a complete en bloc tumor excision of a grade III chondrosarcoma with negative histologic margins. Successful reconstruction of the large full-thickness chest wall defect, with a latissimus dorsi muscle flap and methyl methacrylate incorporated into a polypropylene mesh in a sandwich fashion, was accomplished. Patient recovery was uneventful with good functional and aesthetic outcomes, and no evidence of recurrence at 1.5 years follow-up. This case report illustrates the main clinical, radiological, and histologic features of a CWC while discussing the surgical goals and highlighting the principles for chest wall reconstruction following extensive resection of a large and rare entity.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Neoplasias Óseas
/
Condrosarcoma
/
Procedimientos de Cirugía Plástica
/
Pared Torácica
Límite:
Humanos
/
Masculino
Idioma:
Inglés
Revista:
Autops. Case Rep
Asunto de la revista:
Anatomia
/
Patologia Cl¡nica
/
Patologia Legal
Año:
2020
Tipo del documento:
Artículo
País de afiliación:
Portugal
Institución/País de afiliación:
Coimbra University Hospital Center/PT
/
Portuguese Institute of Oncology/PT
/
São João Hospital Center/PT
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