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Giant chondrosarcoma of the chest wall: a rare surgical challenge
Brito, Íris M; Teixeira, Sérgio; Paupério, Gonçalo; Choupina, Miguel; Ribeiro, Matilde.
  • Brito, Íris M; Coimbra University Hospital Center. Department of Plastic Surgery and Burns Unit. Coimbra. PT
  • Teixeira, Sérgio; São João Hospital Center. Department of Plastic. Reconstructive and Maxillo-Facial Surgery. Porto. PT
  • Paupério, Gonçalo; Portuguese Institute of Oncology. Porto, Department of Thoracic Surgery. Porto. PT
  • Choupina, Miguel; Portuguese Institute of Oncology. Department of Plastic and Reconstructive Surgery. Porto. PT
  • Ribeiro, Matilde; Portuguese Institute of Oncology. Department of Plastic and Reconstructive Surgery. Porto. PT
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.
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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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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