Chondrosarcoma of the chest wall: Single-center experience

Al-Refaie, Reda E.; Amer, Sameh; Ismail, Mohamed; Al-Shabrawy, Mohammed; Al-Gamal, Galal; Mokbel, Ehab M.

doi:10.1177/0218492314522470

Cited by 12 publications

(19 citation statements)

References 15 publications

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“…As fine-needle aspiration cytology is not proper because of local dissemination risk, wide surgical excision with tumor-free margins (en bloc, R0) is the mainstay of therapy for rib chondrosarcoma (6). Furthermore, lung is the most common metastasis site of chondrosarcoma (7). Although PET/CT might be the most reasonable choice for preoperative staging of this patient, it was expensive.…”

Section: Discussionmentioning

confidence: 99%

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Zhang

Wang

et al. 2016

Ann. Transl. Med.

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Adequate surgical resection was required for patients with rib chondrosarcoma. A 61-year-old woman was presented with a palpable chest wall mass. Computed tomography (CT) of the chest revealed an isolated pulmonary nodule about 0.9 cm, and a giant rib tumor about 12 cm × 9 cm which penetrated through the 7 rib into thorax. CT reconstruction and simulated surgery was utilized for disease-free surgical margin (R0 resection), then a simultaneous resection of pulmonary nodule and rib tumor was performed along with chest wall reconstruction under local anesthesia and intravenous sedation without endotracheal intubation. And the recovery was encouragingly uneventful.

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Section: Discussionmentioning

confidence: 99%

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Zhang

Wang

et al. 2016

Ann. Transl. Med.

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“…Chondrosarcoma is the most common primary malignancy of the thoracic cage and is usually located in bony tissue developing through the endochondral ossification process (1,3). These malignant neoplasms may arise as lesions in previously healthy bone tissues or develop in preexisting benign chondral tissue tumors, such as enchondromas (1).…”

Section: Discussionmentioning

confidence: 99%

“…At most, the reported incidence is only 500 new cases per year in the United States (1). Primary bone tumors of the thoracic cage are relatively rare, representing up to 4-8% of all non-secondary, non-metastatic bone neoplasias (2,3). Most chest wall bony tumors demonstrate malignant behavior and the most common primary malignancy is chondrosarcoma (1-4).…”

Section: Introductionmentioning

confidence: 99%

“…Chondrosarcomas may arise as de novo lesions or in the context of preexisting benign tumors of cartilage origin, such as enchondromas, and are usually located in bones that undergo endochondral ossification (1,7,8). Early recognition, preoperative evaluation and adequate surgical intervention with wide margins are crucial to prevent invasive local disease and metastasis (3,4,8). Awareness of the characteristics and behavior of these tumors are necessary in order to avoid misdiagnosis and inadequate or unnecessary therapeutic interventions (4).…”

Section: Introductionmentioning

confidence: 99%

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Primary thoracic chondrosarcoma with intra‑abdominal extension in a renal transplant recipient: A case report

et al. 2020

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Primary thoracic bone tumors are relatively rare. The most common type is chondrosarcoma, accounting for up to 48% of all cases. Patients with primary thoracic bone tumors commonly present with atypical thoracic pain or a solitary palpable chest mass, which gradually develops over months to years. The bones most often affected are the ribs, scapula, costochondral junctions and the sternum. The present study presents a case of a 79 year old previous transplant recipient with a large intra-abdominally expanding chondrosarcoma originating from the left lower thoracic cage and associated vague abdomdinal symptoms. Early recognition and awareness of atypical presentations of this disease are important in to appropriately guide diagnostic evaluation and therapeutic procedures.

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“…2 If preparation is executed on a separate table, as most studies described, contouring is achieved by using the lateral thigh or flank as a mold. 19 Though obtaining a less authentic configuration, this method minimizes risk to local structures during the solidification process. To date, no study has investigated associations between preparation method and complication rates, thus deferring to surgeon experience and proficiency.…”

Section: Discussionmentioning

confidence: 99%

Outcomes in Chest Wall Reconstruction Using Methyl Methacrylate Prostheses: A Review of the Literature and Case Series Utilizing a Novel Approach with Biologic Mesh

Shah

Ayyala

Tran

et al. 2019

J reconstr Microsurg

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Background Composite defects after chest wall resection may leave patients at risk with lack of protection of vital structures and potentially respiratory compromise secondary to flail segments. Reconstruction of the chest wall with various alloplastic materials is possible and well described. Here, the authors present a novel technique in chest wall reconstruction utilizing a methyl methacrylate (MMA) “sandwich” with biologic mesh. The authors also sought to determine outcomes in chest wall reconstruction with MMA to optimize surgical decision making and minimize patient morbidity. Methods A literature review was conducted using MEDLINE and the Cochrane Collaboration Library for primary research articles on chest wall reconstruction using MMA. Data related to surgical techniques and patient outcomes were extracted and analyzed. The authors also present their case series and outcomes utilizing a novel technique with biologic mesh. Results Seventy-four articles met inclusion criteria, which included a total of 562 patients. Reconstruction methods included three main variations of the MMA prosthesis and six institution-specific variations. Complications were reported in 13.7% of patients; the most common complications included infection (5.6%), respiratory failure (3.3%), and atelectasis (1.7%). Less commonly reported complications included prosthesis dislocation (1.2%), pneumonia (1.0%), and lung collapse (0.4%). Overall mortality due to respiratory causes was observed in nine patients (1.6%). In our case series, complications included respiratory failure and seroma was reported in one patient, with no complications at long-term follow-up. Conclusion There are a variety of options available for rigid and nonrigid prosthetic repair of the chest wall. We present the first successful reported case series of reconstruction using biologic mesh as a component of the MMA sandwich prosthesis. MMA appears to be a safe and effective choice for rigid reconstruction when used alone or in conjunction with synthetic or biologic mesh.

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Chondrosarcoma of the chest wall: Single-center experience

Abstract: surgery for chondrosarcoma can be performed with acceptable morbidity and mortality. Proper selection of patients and radical en-block excision of the tumor are the keys for successful treatment and better outcomes.

Cited by 12 publications

References 15 publications

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Non-intubated simultaneous en bloc resection of pulmonary nodule and rib chondrosarcoma

Primary thoracic chondrosarcoma with intra‑abdominal extension in a renal transplant recipient: A case report

Outcomes in Chest Wall Reconstruction Using Methyl Methacrylate Prostheses: A Review of the Literature and Case Series Utilizing a Novel Approach with Biologic Mesh

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