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ISSN 1025-0255 (Electronic)

2013, Number 4

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AMC 2013; 17 (4)

Giant chondrosarcoma of the thoracic wall: a case presentation

García AÁP, Pacheco TF, Sánchez PY, Piñero GM

Language: Spanish
References: 24
Page:
PDF size: 133.04 Kb.


ABSTRACT

Background: chondrosarcoma is a malignant tumor of the cartilage-producing cells and it is divided into two groups: primary and secondary, but it can be also classified according to the location and the histological degree.
Objective: to present an infrequent case of giant chondrosarcoma of the thoracic wall with infiltration in the left ribs.
Clinical case: a seventy-four-year-old patient with hypertension antecedents came to the Surgery Department because, for 13 years, he showed volume increase in his left pectoral region; the growth had accelerated in the last six months. In the physical examination a fifteen-centimeter tumor was detected in the left precordial region, adhered to deep planes; it was non-displaced, non-painful, multilobate, hot, and with visible superficial venous circulation.
Conclusions: the histological diagnosis was primary chondrosarcoma. The patient underwent a surgery with block removal of the tumorous mass and thoracoplasty; but soon afterward he showed complications while staying in the Intensive Care Unit and died of pulmonary thromboembolism in sella.


REFERENCES

  1. Springfield DS, Gebhardt MC, McGuire MH. Chondrosarcoma: a review. J Bone Joint Surg 1996; 78-A(1):141-9.

  2. Merchan ECR, Sánchez-Herrera S, González JM. Secondary chondrosarcoma: four cases and review of the literature. Acta Orthop Belg 1993; 59(1):76-80.

  3. Dai X, Ma W, He X, Jha RK. Review of therapeutic strategies for osteosarcoma, chondrosarcoma, and Ewing's sarcoma. Med Sci Monit. 2011; 17(8):RA177-190.

  4. Alvarez Cambras R. Les tumeurs cartilagineuses du bassin [mémoire pour le tître d'Assistant Etranger]. París: Faculté de Médecine, 1968:52.

  5. Xu B, Shi H, Wang S, Wang P, Yu Q. Secondary chondrosarcoma in the mandibular condyle. Dentomaxillofac Radiol. 2011; 40(5):320-3.

  6. Dantonello T, Int-Vean C., Leuschener I, Shuck A. Mesenchymal chondrosarcoma of soft tissues and bone in children, adolescents and young adults: experience of the CWS and COSS Study Group. Cancer 2008; 112: 2424-31.

  7. Prado FD, Nishimoto IN. Head and neck chondrosarcoma: analysis of 16 cases. Br J Oral Maxillofac Surg. 2009; 47:555-7.

  8. Decomas A, Lurie D, Meyer M. Chondrosarcoma of the foot. Am J Orthop. 2011; 40(1):37-9.

  9. Sisu AM, Tatu FR, Stana LG, Petrescu CI, Tatu C. Chondrosarcoma of the upper end of the femur. Rom J Morphol Embryol. 2011; 52(2):709-13.

  10. Li YF, Yu CP, Wu ST, Dai MS, Lee HS. Malignant mesenchymal tumor with leiomyosarcoma, rhabdomyosarcoma, chondrosarcoma, and osteosarcoma differentiation: case report and literature review. Diagn Pathol. 2011; 6:35.

  11. Soldatos T, McCarthy EF, Attar S, Carrino JA, Fayad LM. Imaging features of chondrosarcoma. J Comput Assist Tomogr. 2011; 35(4):504-11.

  12. Amary MF, Bacsi K, Maggiani F, Damato S, Halai D. IDH1 and IDH2 mutations are frequent events in central chondrosarcoma and central and periosteal chondromas but not in other mesenchymal tumours. J Pathol. 2011 l; 224(3):334-4.

  13. Grifone TJ, Haupt HM. Immunohistochemical expression of estrogen receptors in chondrosarcomas and enchondrosarcomas. Int J Surg Pathol. 2008; 16: 31-7.

  14. Enneking WF, Wolf RE. The Staging and Surgery of the Musculoskeletal Neoplasm Clin Orthop.1996; 27(3):433-81.

  15. Anderson JLG. Extraskeletal mesenchymal chondrosarcoma of the forearm: a case report. J Hand Surg 2007; 32:389-92.

  16. Die Trill J, Die Goyanes A. Amputar o no amputar, ésa es la cuestión. Rev Cirug. Española. 2007; 73(5):314-317.

  17. Carvallo Pozos A, Palomo González E, Colietea Mena A. Condrosarcoma de alto grado de malignidad: extirpación y reconstrucción con prótesis total de fémur. Primer caso realizado en Venezuela. Rev. Venezolana Cir.Ortop.Traumatol. 2003; 35(2): 103-107.

  18. Ansari TZ, Masood N, Parekh A, Jafri RZ, Niamatullah SN. Four year experience of sarcoma of soft tissues and bones in a tertiary care hospital and review of literature. World J Surg Oncol. 2011; 9:51.

  19. Montoya Sánchez C y Niño Rubio ME: Condrosarcoma mesenquimal extraóseo: Reporte de un caso. Rev. Colombiana Ort. y Traumat. 2009; 23(2).

  20. Gelderblom H, Hongendorm P, Dijkstra S. The clinical approach towards chondrosarcoma. The Oncologist 2008; 13:320-9.

  21. Gil ZO, Patel SG, Singh BA. International Collaborative Study Group. Analysis of prognostic factors in 146 patients with anterior skull base sarcoma: an international collaborative study. Cáncer. 2007; 110:1033-41.

  22. Fayda MA, Aksu GO. The role of surgery and radiotherapy in treatment of soft tissues sarcomas of the head and neck región: review of 30 cases. J Cranimaxillofac Surg. 2009; 37:42-8.

  23. Minami S, Kounami S, Sakata R, Miyazaki N, Anuki A. Chondrosarcoma of sacrum presenting with a deep vein thrombosis. WatJ Orthop Sci. 2011; 16(4):4826.

  24. Subbiah V, Kurzrock R. Phase 1 clinical trials for sarcomas: the cutting edge: Curr Opin Oncol. 2011; 23(4):352-60.




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