Keywords
Chondrosarcoma
Reconstruction
Ribs
Diaphragm
SURGERY
How to Cite
Abstract
Chondrosarcoma of a rib is a very rare malignant tumor of the bone. Most patients are present with an enlarging painful anterior chest wall tumor. We present a case of 32-years old female with a thoracoabdominal tumor size of 20 cm × 16cm involving the left 9th rib. Since chondrosarcoma is less sensitive to chemotherapy and radiotherapy, surgical treatment with extensive resection with a sufficient margin is considered first-line treatment. Sufficient soft-tissue reconstruction of the thoracic wall after extensive resection represents a formidable challenge. This article aims to illustrate the possibility of resection of the six last ribs with no complicated reconstruction technique.
References
Gonfiotti A, Santini PF, Campanacci D, Innocenti M, Ferrarello S, Caldarella A, et al. Malignant primary chest-wall tumors: techniques of reconstruction and survival. Eur J Cardiothorac Surg. 2010 Jul; 38(1): 39-45. https://doi.org/10.1016/j.ejcts.2009.12.046
Kim MJ, Cho KJ, Ayala AG, Ro JY. Chondrosarcoma: with updates on molecular genetics. Sarcoma. 2011; 2011:405437. https://doi.org/10.1155/2011/405437
Capps E, Shiller MS, Cheek S, Oza U, Konduri K. Chest wall chondrosarcoma. Proc (Bayl Univ Med Cent). 2009 Oct;22(4):362–5. https://doi.org/10.1080/08998280.2009.11928558
Waisberg DR, Abrão FC, Fernandez A, Terra RM, Pêgo-Fernandes PM, Jatene FB. Surgically-challenging chondrosarcomas of the chest wall: five-year follow-up at a single institution. Clinics (Sao Paulo). 2011; 66(3):501–3. https://doi.org/10.1590/s1807-59322011000300024
Pairolero PC. Chest wall tumors. In: Shields TW, LoCicero J 3rd, Ponn RB. eds. General thoracic surg. 5th ed. Philadelphia, Lippincott Williams & Wilkins, 2000;589-98.
Hogendoorn PCW, Bovée JV, Nielsen GP. Chondrosarcoma (grades I-III), including primary and secondary variants and periosteal chondrosarcoma. World Health Organization Classification of Tumours of Soft Tissue and Bone. Fletcher CD, Bridge JA, Hogendoorn PC (ed): IARC Press, Lyon; 2013. 4th edition: 264.
Chow WA. Update on chondrosarcomas. Curr Opin Oncol. 2007 Jul; 19(4):371-6. https://doi.org/10.1097/cco.0b013e32812143d9
Gelderblom H, Hogendoorn PC, Dijkstra SD, van Rijswijk CS, Krol AD, Taminiau AH, et al. The clinical approach towards chondrosarcoma. Oncologist. 2008 Mar;13(3):320-9. https://doi.org/10.1634/theoncologist.2007-0237
Incarbone M, Pastorino U. Surgical treatment of chest wall tumors. World J Surg. 2001 Feb;25(2):218-30. https://doi.org/10.1007/s002680020022
Lenze U, Angelini A, Pohlig F, Knebel C, Trovarelli G, Berizzi A, et al. Chondrosarcoma of the Chest Wall: A Review of 53 Cases from Two Institutions. Anticancer Res. 2020 Mar;40 (3) 1519-1526. https://doi.org/10.21873/anticanres.14097
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2022 Taoufiq R et al.
