1/19. Metastatic adenocarcinoma rib presenting as chondrosarcoma.A case of chondrosarcoma rib which turned out to be a case of metastatic adenocarcinoma on histopathological examination is being presented.- - - - - - - - - - ranking = 1keywords = chondrosarcoma (Clic here for more details about this article) |
2/19. Extrapleural pneumonectomy for sarcomas report of two cases.AIMS AND BACKGROUND: Extrapleural pneumonectomy (EPP), which is a very uncommon surgical procedure, is electively indicated only in patients with early stages of malignant pleural mesothelioma, a rare condition. Two adults suffering from sarcomas and treated with EPP are described here. methods: A 29-year-old male with four left-sided lung metastases and ipsilateral pleural effusion from a chondrosarcoma of the mandibula and a 64-year old woman with a megamass in the left chest due to a local recurrence of a hemangiopericytoma underwent EPP. RESULTS: Extra-EPP-field multiorgan progression was diagnosed 14 months following surgery in the first patient who died at the 24th postoperative month but remained free of disease at the site of surgery. The second patient had a chest wall relapse at the forty-third month following EPP, which was treated by partial resection of the second and third ribs. She is alive and disease-free at the twelfth postoperative month. DISCUSSION: EPP may be considered for salvage treatment in selected patients with intrathoracic sarcomas not amenable to other effective therapies to achieve mid- to long-term disease control, even in the case of advanced spread.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
3/19. Resection of large primary chest wall chondrosarcoma with reconstruction: 2 case reports.We report two cases of large chest wall primary chondrosarcoma, one of the sternum and the other of the lateral chest wall. Both were treated by radical resection and reconstruction using marlex mesh and methyl methacrylate "sandwich" prosthesis and pedicled latissiumus dorsi flap.- - - - - - - - - - ranking = 1keywords = chondrosarcoma (Clic here for more details about this article) |
4/19. Low-grade chondrosarcoma vs enchondroma: challenges in diagnosis and management.A 28-year-old man presented with a swelling at the right thoracic wall. Computed tomography showed an aggressive process involving the cortex of the rib with concomitant soft tissue mass. However, a needle biopsy specimen revealed an enchondroma and consequently the physician decided to apply a "wait-and-see" strategy. After 3 years of careful follow-up by MR imaging, the patient complained of subtle enlargement of the lesion, which was later confirmed on repeated CT scan. Despite an aggressive appearance on control MR imaging, histopathological examination after incisional biopsy could not differentiate between enchondroma and low-grade chondrosarcoma. Wide excision including previous biopsy trajectory was performed. diagnosis of a low-grade (grade I) chondrosarcoma was made on findings of the excisional specimen and seeding of cartilage tissue along the previous incisional biopsy trajectory was found.- - - - - - - - - - ranking = 1.2keywords = chondrosarcoma (Clic here for more details about this article) |
5/19. The combined otolaryngologic, orthopedic and thoracic approach to a massive fore-quarter tumor.A case report of a 32-year-old female with a massive chondrosarcoma is presented. The tumor involved the neck, shoulder and chest. A multidisciplinary approach involving an otolaryngologist, orthopedic surgeon and thoracic surgeon with their respective teams is shown to be efficacious in dealing with this difficult problem.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
6/19. Reconstruction of a major abdominal and chest wall defect using latissimus dorsi and extended deep inferior epigastric artery flap.Large defects of the chest and abdominal cavity are a challenging reconstructive problem. We present reconstruction of a major chest and abdominal wall defect in a patient who had recurrent chondrosarcoma. The defect extended from just below the nipple almost to the umbilicus, and measured 28 x 30 cm. An "extended" latissimus dorsi muscle flap and extended deep inferior epigastric artery flap were used for reconstruction of the defect. A 1-year follow-up of the patient is presented.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
7/19. Large chest wall reconstruction using a pedicled osteomuscle composite flap: report of a case.A 67-year-old man with diabetes mellitus and chronic renal failure underwent resection of a grade 1 chondrosarcoma. We performed chest wall reconstruction of the massive defect, using a pedicled osteomuscle composite flap comprising the 6th, 8th, and 10th ribs, and the latissimus dorsi and serratus anterior muscles. This flap is ready to mobilize as a pedicled graft to cover a large chest wall defect; it is strong enough to buttress the chest cage without the need for artificial materials, and it is associated with a lower risk of infection than prosthetic materials.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
8/19. Signet-ring chondrosarcoma: a new morphologic entity.A 65-year-old, otherwise healthy white man presenting with an asymptomatic anterior chest wall mass diagnosed from a routine preoperative chest x-ray is reported. A fine needle aspirate of the mass was initially interpreted as a metastatic adenocarcinoma with prominent "signet-ring" features, but ultrastructural study of the cell block later suggested a chondrosarcoma. The resected surgical specimen confirmed the diagnosis of a grade 2 chondrosarcoma, with most of the tumor cells containing a large, clear, single vacuole shown to be lipid. The positive immunostaining for vimentin and S-100 as well as the ultrastructural appearance confirmed the diagnosis of a chondrosarcoma. Flow cytometric dna analysis of the tumor on two separate occasions documented a very large aneuploid cell population (50% to 60%) which, when interpreted with the histologic appearance, suggested an aggressive tumor. This case illustrates the first published example of a "signet-ring" chondrosarcoma.- - - - - - - - - - ranking = 1.6keywords = chondrosarcoma (Clic here for more details about this article) |
9/19. recurrence and malignant transformation of endotracheal chondroma.An endotracheal chondroma with recurrent course and malignant transformation is described. The first chondroma recurrence appeared 5 years after the primary operation, with no histopathological signs of malignancy. A second recurrence after a further 6 years showed obvious histological evidence of malignant chondrosarcoma. A third recurrence after 1 more year metastasized to various organs and led to the patient's death 14 years from the date of primary diagnosis.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
10/19. Management of dumbbell tumours. Reports of seven cases.Seven dumbbell tumours were histologically diagnosed as neurilemmoma (4), echinococcus cyst (1), chondrosarcoma (1) or neuroblastoma (1). Radical removal was achieved by thoracotomy and enlargement of the intervertebral foramen in two cases. thoracotomy and laminectomy were performed on separate occasions in three cases. One patient, in whom the extent of the pathologic process was known preoperatively, underwent concomitant 'minithoracotomy' and laminectomy. Postoperative bleeding required reoperation in one case. The patient with chrondrosarcoma died of local recurrence 16 months postoperatively, and the patient with neuroblastoma died of metastatic spread after 6 years. The five survivors are well. Preoperative recognition of intraspinal extension should be obtainable if a high index of suspicion is maintained in cases of paravertebral tumour. Computed tomography is the diagnostic method of choice. Single-stage removal of the intrathoracic and intraspinal portions of the tumour is desirable. The recommended procedure is posterior minithoracotomy with rib resections for exposure and possibly also laminectomy, with the patient in prone position.- - - - - - - - - - ranking = 0.2keywords = chondrosarcoma (Clic here for more details about this article) |
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