Huge sternal chondrosarcoma: a case report

Yousefi, Yousef; Sadrizadeh, Ali; Sadrizadeh, Sepehr

doi:10.1177/0218492318803813

Cited by 6 publications

(4 citation statements)

References 8 publications

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“…Today, the materials used for thoracic wall reconstruction are being widely discussed [ 17 , 18 ]. Many approaches have been tried by surgeons worldwide [ 19 ]. At the end of the day, what is the most crucial aspect is that the thoracic wall retains some stability after the surgery [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Giant Sternal Chondrosarcoma in a 50-Year-Old Patient

et al. 2022

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Chondrosarcomas represent approximately 20% of primary malignant bone cancers, being known as the most frequent neoplasia of the anterior thoracic wall. In our case, we present a case of a primary sternal chondrosarcoma in a 50-year-old female patient that has been polychemiotherapy and radiotherapy treated for breast cancer. Despite the initial treated malignancy of breast cancer in the personal pathologic history of the patient, it was discovered that the sternal tumor was not a metastatic disease from the breast neoplasm. After multiple investigations, the patient was successfully treated for the sternal chondrosarcoma after a radical sternal resection with a chest wall reconstruction completed with two titanium plates that were anchored on the ribs and with the placement of methyl methacrylate mesh.

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Section: Discussionmentioning

confidence: 99%

Giant Sternal Chondrosarcoma in a 50-Year-Old Patient

et al. 2022

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“…The need for surgical resection with large disease-free margins leads to significant problems in the reconstruction techniques, therefore the main goal for surgeons is to re-establish thoracic stability and protect internal organs reaching a functional and aesthetic result. Our patient underwent many resections and removals of sternum, clavicles and ribs and reconstruction of chest wall was realised by placement of titanium plates and Mersilene mesh; also myocutaneous flap of latissimus dorsi contributed to reach this goal (2,7,8,(11)(12)(13). The staged and progressive procedures, allowing a stabilization of the residual chest cage probably avoided the risk of acute respiratory impairment that had could be higher in case of an en bloc resection in one stage of the anterior chest wall comprising the total sternectomy and clavicle bilaterally.…”

Section: B a Discussionmentioning

confidence: 99%

Iterative surgical demolition and reconstruction of the anterior chest wall and thoracic outlet for a recurrent chondrosarcoma: long term oncologic and functional results

Iaco¹,

Brascia²,

Palma³

et al. 2020

Curr Chall Thorac Surg

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Chondrosarcoma is a cartilage-producing neoplasm, with a preferential location in the chest wall at the level of the sternum and the ribs. Prognosis depends from several factors, such as tumour grading and radicality of resection. Due to chemo and radio resistance, surgery including radical removal of the tumour and reconstruction of the rib cage is the main treatment, with radiotherapy reserved in case of R1 or R2 resection. We report a case of a 56-year-old patient affected by sternocostal chondrosarcoma submitted to several chest wall resections and reconstruction due to the multiple relapses reporting surgical strategy, and its impact on quality of life and respiratory function.

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“…Plenty of options are available for this which includes Marlex sandwich with methyl methacrylate, autologous bone graft, prolene mesh, titanium mesh and reconstruction plates. [5][6][7][8][9] Newer reconstruction techniques include use of 3D printed materials adapted to patient's defect. 10 In our case we used non vascularized rib graft which was shaped in a T form and attached to the bone edges.…”

Section: He Underwent Upfront Surgery With Wide Excisionmentioning

confidence: 99%

Malignant Sternal Tumors: Report of Two Cases

et al. 2022

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Primary malignant sternal tumors are rare clinical entities. We came across two such patients with primary sternal tumors. One was a chondroblastic osteosarcoma while the other was a chondrosarcoma. One patient received neoadjuvant chemotherapy followed by surgery. The second patient underwent upfront surgery. Both cases received wide excision of the tumor (sternum along with part of medial ends of bilateral clavicles and upper ribs). Reconstruction was done using autologous bone graft with prolene mesh in one case and titanium reconstruction plates in the other case. Both cases received coverage with pectoralis major muscle flaps.

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Huge sternal chondrosarcoma: a case report

Cited by 6 publications

References 8 publications

Giant Sternal Chondrosarcoma in a 50-Year-Old Patient

Giant Sternal Chondrosarcoma in a 50-Year-Old Patient

Iterative surgical demolition and reconstruction of the anterior chest wall and thoracic outlet for a recurrent chondrosarcoma: long term oncologic and functional results

Malignant Sternal Tumors: Report of Two Cases

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