Complex Presentation of Anterior Chest Wall Chondrosarcoma

Chondrosarcoma is the third most common primary bone malignancy, but its thoracic presentation is unusual compared to the pelvis and extremities. Chest wall chondrosarcomas are difficult to be surgically resected due to their proximity to neurovascular structures. We report the case of a 48-year-old...

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Bibliographic Details
Authors: Brenner, Augusto Mädke, Lucas, Marcio Luis, Generosi, Eduardo Abeche, Mädke, Gabriel Ribeiro
Format: article
Status:Published version
Publication Date:2021
Country:Brasil
Institution:Universidade Federal do Rio Grande do Sul (UFRGS)
Repository:Clinical and Biomedical Research
Language:English
OAI Identifier:oai:seer.ufrgs.br:article/109993
Online Access:https://seer.ufrgs.br/index.php/hcpa/article/view/109993
Access Level:Open access
Keyword:Chondrosarcoma
Thoracic Wall
Thoracic Surgery
Description
Summary:Chondrosarcoma is the third most common primary bone malignancy, but its thoracic presentation is unusual compared to the pelvis and extremities. Chest wall chondrosarcomas are difficult to be surgically resected due to their proximity to neurovascular structures. We report the case of a 48-year-old man presenting with a history of chest bulging. Computed tomography showed a lesion of approximately 12 cm in the sagittal axis adjacent to the upper lobe of the left lung, compressing the upper lobar bronchus and causing parenchymal atelectasis. Biopsy revealed chondrosarcoma. The lesion extrinsically compressed the left pectoralis major muscle and invaded the left pectoralis minor muscle. After complete surgical resection, the patient was discharged on postoperative day 20.