En-Bloc Excision of a Giant Chondrosarcoma of the Anterior Chest Wall Followed by Plastic Reconstruction of the Defect

An innovative reconstruction of an enbloc resected composite giant chest and abdominal wall chondrosarcoma with 3D-composite mesh

“…Treatment for primary chest wall chondrosarcomas with defects larger than 5 cm or anterior resection involving more than three ribs primarily consists of wide surgical excision with tumor-free margins, followed by reconstruction of the defect using a prosthetic material that should be sufficiently rigid to prevent paradoxical respiratory movements, biocompatible enough to allow fibrous tissue growth without causing infections, and sufficiently radiolucent to allow radiographic follow-up [ 5 ]. The flail chest, a leading complication of wide chest wall resection, needs attention [ 4 ].…”

“…The flail chest, a leading complication of wide chest wall resection, needs attention [ 4 ]. However, double-layer prolene mesh for giant chondrosarcoma of the chest wall has minimized the sandwich technique [ 5 ]. Adopting various prosthetic materials has disadvantages, including high cost, migration, infection, screw loosening, and foreign body rejection [ 2 , 5 ].…”

“…However, double-layer prolene mesh for giant chondrosarcoma of the chest wall has minimized the sandwich technique [ 5 ]. Adopting various prosthetic materials has disadvantages, including high cost, migration, infection, screw loosening, and foreign body rejection [ 2 , 5 ]. At the same time, modern 3D reconstruction can provide durable and rigid construction and benefit from anatomical precision, reduced operative time, and ease of use [ 2 , 6 ].…”