Introduction. Primary malignant tumors of the sternum are rare, with
chondrosarcoma being the most common primary malignant tumor of the chest.
The gold standard in treatment is surgical treatment with wide resection
margins, where the rigidity of the chest wall must be ensured, with
protection of internal organs with satisfactory lung function. Case
outline. We present a 67-year-old patient in whom previous computed
tomography and magnetic resonance imaging examinations confirmed a tumor
mass involving the sternum with the associated ribs, with involvement of the
soft tissues above. First, sternum resection was performed with partial
resection of the associated ribs and soft tissues. Reconstruction and
stabilization of the chest wall were achieved with two layers of
polypropylene mesh and methyl methacrylate bone cement with antibiotics. We
reconstructed the primary soft tissue defect with a combination of a large
local fasciocutaneous flap raised from the abdomen and a smaller sliding
flap from the chest. The secondary defect was reconstructed by wide
undermining of the skin in the area of the anterior abdominal wall and a
small Thiersch-type free skin graft. In the postoperative period, the flaps
were vital, but there was necrosis of the free skin graft. That defect was
closed secondary thanks to bandaging. Respiratory function was preserved.
Conclusion. Surgical treatment is the main treatment for sternal
chondrosarcoma. With an adequate preoperative and intraoperative approach,
it is necessary to enable good postoperative oncological outcomes with the
achievement of chest rigidity and satisfactory respiratory status.