Case report on the approach to surgical management for a large chest wall chondrosarcoma

Ramsingh, Kimberly; Mohammed, Fawwaz; Hassranah, Dale; Ramnarine, Ian

doi:10.1016/j.ijscr.2022.107047

Cited by 1 publication

(3 citation statements)

References 16 publications

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“…In addition, latissimus dorsi, pectoralis major, and rectus abdominis muscles are often used when a resection margin is wide in soft tissues. Chest wall reconstruction using synthetic polypropylene mesh and local muscle flaps is a safe and effective procedure for a chest wall defect [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…Chondrosarcoma is included in the category of chondrogenic tumors, is designated as sarcoma arising from the cartilage matrix, and is associated with local destruction or metastasis [ 1 ]. Chondrosarcoma commonly develops in the pelvis and long bones, whereas primary chondrosarcoma of the ribs is a relatively rare disease [ 1 , 2 ]. The differential diagnoses included benign enchondroma.…”

Section: Introductionmentioning

confidence: 99%

“…Because chondrosarcoma may exhibit atypical presentation, differentiation may be difficult [ 3 ]. In consideration of the clinical features of enchondroma, including the peak age of onset of 10-39 years and rare incidence on the trunk (including the pelvis and ribs), differentiation is often performed before surgery [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

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Primary Chondrosarcoma of the Right Fourth Rib Resected at the Marginal Margin: A Case Report

Yoshino,

Nakatsubo,

Ujiie

et al. 2023

Cureus

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Primary chondrosarcoma of the ribs is relatively rare, and its basic treatment is surgical resection. In cases with positive resection margins, additional resection is considered, but its indications are unclear. However, reported cases with positive resection margins have been limited. We report a 71-year-old man whose medical checkup revealed an abnormal shadow in the chest. The findings from chest computed tomography, axial T2-weighted magnetic resonance imaging (MRI), and contrast-enhanced MRI led to a diagnosis of chondrosarcoma of the right fourth rib, and surgical resection was performed. The chest wall defect was reconstructed with a Marlex mesh. Postoperative histopathologic diagnosis was grade 2 chondrosarcoma. Gross resection margins, which were marginal, were negative, and the resection margin was grade 1. The patient was followed up without adjuvant therapy and did not undergo additional surgery. For chondrosarcomas with negative gross margins but a marginal margin, additional resection should be considered depending on the histologic grade of the margins. In cases with extensive resection of the chest wall, it is useful to reconstruct the chest wall while paying careful attention to infection control.

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Section: Discussionmentioning

confidence: 99%