RESUMO
Primary tumors of the sternum are unusual, and, of these chondrosarcoma is extremely rare. Prior cases were more frequent in men. It is the consensus that central (axial) skeletal lesions are always suspected of malignancy. It is difficult to deduce from the roengenographic and pathologic findings the presence of a sternal tumor. This case report of primary sternal chondrosarcoma illustrated an extremely rare cartilaginous lesion in a male 64 years old. Extensive sternal excision was indicated despite the apparent benignity of the tumor. This aggressive surgical method facilitated the diagnosis of a malignant tumor with moderate cellular differentiation G2 chondrosarcoma. After surgery done, bilateral pleural empiema occurred.
Assuntos
Neoplasias Ósseas/cirurgia , Condrossarcoma/cirurgia , Derrame Pleural/diagnóstico por imagem , Derrame Pleural/terapia , Esterno/cirurgia , Antibacterianos/uso terapêutico , Neoplasias Ósseas/complicações , Neoplasias Ósseas/diagnóstico por imagem , Condrossarcoma/complicações , Condrossarcoma/diagnóstico por imagem , Drenagem , Quimioterapia Combinada , Glucocorticoides/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Oxigênio/uso terapêutico , Derrame Pleural/etiologia , Radiografia , Fatores de Risco , Resultado do TratamentoRESUMO
UNLABELLED: The study is a retrospective one based on the analysis of the records of the patients who have been diagnosed with Sleep Apnoea Syndrome (SAS) in "Marius Nasta" Institute of Pneumology sleep laboratory between 1997-2007. The study demonstrated a SAS prevalence of 64,4% in a specific population. Snoring is the main symptom which brings the patients to the doctor (74,5%); regarding the severity of the disease 62,4% were moderate and severe cases. CONCLUSIONS: Sleep Apnoea Syndrome is a frequent disease, relatively easy to diagnose and to treat. If we want to have real epidemiological data regarding SAS prevalence in Romania we should have large epidemiological studies in all the regions of the country.
