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Bibliographic Details
Main Author:	Íris M. Brito
Format:	Artículo científico
Language:	en
Published:	Hospital Universitário da Universidade de São Paulo 2020
Subjects:	Medicina Thoracic Wall Chondrosarcoma Reconstructive Surgical Procedures
Online Access:	https://www.redalyc.org/articulo.oa?id=576065838006 https://www.redalyc.org/journal/5760/576065838006/ https://www.redalyc.org/journal/5760/576065838006/html/ https://www.redalyc.org/journal/5760/576065838006/576065838006.epub https://www.redalyc.org/journal/5760/576065838006/movil
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Giant chondrosarcoma of the chest wall: a rare surgical challenge Íris M. Brito Sérgio Teixeira Gonçalo Paupério Miguel Choupina Matilde Ribeiro Medicina Thoracic Wall Chondrosarcoma Reconstructive Surgical Procedures The chest wall chondrosarcoma (CWC) is a rare slowly growing primary tumor of the chest wall with an incidence of <0.5 per million person-years. We present the case of a giant CWC that caused a mass effect on the mediastinum, heart, and lung. Large tumors with thoracic structures compression may be life threatening, and its resection and subsequent chest wall reconstruction represent a significant multidisciplinary surgical challenge. In this case, despite the large tumor dimensions, the preoperative planning—sparing key reconstructive options without compromising the tumor resection—allowed a complete en bloc tumor excision of a grade III chondrosarcoma with negative histologic margins. Successful reconstruction of the large full-thickness chest wall defect, with a latissimus dorsi muscle flap and methyl methacrylate incorporated into a polypropylene mesh in a sandwich fashion, was accomplished. Patient recovery was uneventful with good functional and aesthetic outcomes, and no evidence of recurrence at 1.5 years follow-up. This case report illustrates the main clinical, radiological, and histologic features of a CWC while discussing the surgical goals and highlighting the principles for chest wall reconstruction following extensive resection of a large and rare entity. 2020 otro 2236-1960 https://www.redalyc.org/articulo.oa?id=576065838006 https://www.redalyc.org/journal/5760/576065838006/ https://www.redalyc.org/journal/5760/576065838006/html/ https://www.redalyc.org/journal/5760/576065838006/576065838006.epub https://www.redalyc.org/journal/5760/576065838006/movil 10.4322/acr.2020.166 en http://www.redalyc.org/revista.oa?id=5760 Autopsy and Case Reports application/pdf Hospital Universitário da Universidade de São Paulo Autopsy and Case Reports (Brasil) Num.3 Vol.10

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