scholarly journals Radical resection of giant chondrosarcoma of the anterior chest wall

2008 ◽  
Vol 65 (1) ◽  
pp. 64-68 ◽  
Author(s):  
Vojkan Stanic ◽  
Tatjana Vulovic ◽  
Marjan Novakovic ◽  
Aleksandar Ristanovic ◽  
Davor Stamenovic ◽  
...  
Keyword(s):  
Chest Wall ◽  
Respiratory Function ◽  
Soft Tissues ◽  
Myocutaneous Flap ◽  
Good Method ◽  
Radical Resection ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
Wide Resection ◽  
Parietal Pleura

Background. Chondrosarcomas represent approximately 30% of primary malignant bone tumors, the most frequent of which is on anterior thoracic wall. Case report. We presented a case of 50-year-old man suffering from a slowgrowing, painless giant chondrosarcoma of the anterior chest wall. A wide resection was performed to excise the tumor including attached skin, right breast, ribs, sternum, soft tissues and parietal pleura. Mediastinum was not affected by the tumor. After resecting a 26 ? 20 ? 22 cm segment, the chest wall defect was reconstructed with a Marlex mesh and extensive latissimus dorsi myocutaneous flap pedicled on the right thoracodorsal vessels. Histopatology diagnosis was chondrosarcoma G 2?3. The mechanics of ventilation was not altered and respiratory function was normal from the immediate postoperative period. Three years after the operation postoperative results showed no local recurrence and excellent functional and aesthetic results were evident. Respiratory function remained unaltered. Conclusion. According to the results it can be concluded that the use of Marlex mash and myocutaneous flap is good method for stabilization of the chest wall and enough to avoid paradoxical respiratory movements in managing giant chondrosarcoma of the anterior chest wall.

Radical resection of a giant recurrent chondrosarcoma of the anterior chest wall

2011 ◽  
Vol 59 (7) ◽  
pp. 512-514
Author(s):  
Necati Çitak ◽  
Alper Çelikten ◽  
Muzaffer Metin ◽  
Atilla Pekçolaklar ◽  
Atilla Gürses
Keyword(s):  
Chest Wall ◽  
Radical Resection ◽  
Anterior Chest Wall

Radical resection of a giant chondrosarcoma of the anterior chest wall

2003 ◽  
Vol 75 (1) ◽  
pp. 296 ◽  
Author(s):  
Achilleas G. Lioulias ◽  
John N. Kokotsakis ◽  
Michael C. Milonakis ◽  
Eleni Anna T. Skouteli ◽  
Dimitrio G. Boulafendis
Keyword(s):  
Chest Wall ◽  
Radical Resection ◽  
Anterior Chest Wall

scholarly journals Pediatric Chondrosarcoma of the Sternum Resected with Thorascopic Assistance

2017 ◽  
Vol 11 (1) ◽  
pp. 479-485 ◽  
Author(s):  
Harpreet S. Bawa ◽  
Drew D. Moore ◽  
Juan C. Pelayo ◽  
Nicole Cipriani ◽  
Grace Mak ◽  
...  
Keyword(s):  
Chest Wall ◽  
Soft Tissues ◽  
Thoracoscopic Surgery ◽  
Bone Sarcoma ◽  
Wide Resection ◽  
Malignant Neoplasms ◽  
Low Grade ◽  
Orthopaedic Oncology ◽  
Primary Bone Sarcoma ◽  
Primary Bone

Background: Chondrosarcomas are a heterogeneous group of malignant neoplasms that arise from bones, cartilage or other soft tissues that produce cartilage and are commonly seen in the middle decades of life. Despite being the most common primary bone sarcoma in adults, chondrosacromas are rare in pediatric patients. Case Report: We report the case of a six-year-old child with a painless enlarging sternal mass of which biopsy was consistent with low-grade surface chondrosarcoma. This is the first reported case of a chest wall chondrosarcoma in a young child. This unusual location in a young patient presented challenges to treatment. Resection of the manubrium was performed by a multidisciplinary team of orthopaedic oncology and pediatric general surgery. The patient underwent a wide resection of the sternal mass from an anterior approach performed by the orthopaedic oncology team using an oscillating saw under video-assisted thoracoscopic surgery to ensure adequate mass resection without injury to nearby structures. The patient was followed with quarterly physical exams and radiographs for 18 months postoperatively and did not have any pain or evidence of recurrence. Conclusion: Clinicians should consider utilizing multidisciplinary approaches to treat patients with chondrosarcomas of the chest wall.

Thoracic ranula: an extremely rare case

2005 ◽  
Vol 119 (3) ◽  
pp. 233-234 ◽  
Author(s):  
Claudine Elizabeth Pang ◽  
Tee Sin Lee ◽  
Kenny Peter Pang ◽  
Yoke Teen Pang
Keyword(s):  
Chest Wall ◽  
Rare Case ◽  
Subcutaneous Tissue ◽  
Anterior Chest Wall ◽  
Thoracic Wall ◽  
History Of Surgery ◽  
Transcervical Approach ◽  
First Case ◽  
History Of

We present the first case of a thoracic ranula which originated from the left submandibular area extending into the subcutaneous tissue planes of the anterior chest wall. The patient had a history of surgery for a previous benign left salivary gland cyst, and presented with an enlarging mass in the anterior chest wall. This was a recurrence of a ranula, with an extension into the anterior thoracic wall. The thoracic ranula was excised, together with ipsilateral sublingual and submandibular glands, via a transcervical approach. No recurrence was detected over a 3-year post-operative follow up.

scholarly journals A Giant Dermatofibrosarcoma of the Anterior Chest Wall

2018 ◽  
Vol 1 (2) ◽  
Author(s):  
Mohamed Amine Ennouhi ◽  
Akram Traibi ◽  
Mohamed Sinaa ◽  
Abdennacer Moussaoui
Keyword(s):  
Chest Wall ◽  
Anterior Chest Wall ◽  
Skin Tumor ◽  
Wide Resection ◽  
Split Thickness Skin Graft ◽  
Clinical Appearance ◽  
Slow Development ◽  
Thickness Skin ◽  
Aesthetic Results ◽  
Diagnostic Delays

Dermatofibrosarcoma (DFS) is a rare skin tumor, characterized by its recurrence. Its slow development, and its banal clinical appearance often causes diagnostic delays, especially when the tumor is located in covered areas. The reference treatment is wide resection. We report a case of giant chest wall DFS. The discordance between the impressive tumor volume and the limited deep invasion are the peculiarity of this case report.A conservative treatment, a wide resection and a split-thickness skin graft could be undertaken. With a follow-up of two years, the carcinological, functional and aesthetic results are very satisfactory.

scholarly journals Revisiting the musculocutaneous external oblique flap as a versatile alternative in large thoracic wall defects

2019 ◽  
Vol 5 (1) ◽  
Author(s):  
David Matera ◽  
Richard Huynh ◽  
Terrance Hanley ◽  
Amir B. Behnam
Keyword(s):  
Chest Wall ◽  
Myocutaneous Flap ◽  
Soft Tissue Defect ◽  
Thoracic Wall ◽  
Adjuvant Radiation ◽  
Flap Reconstruction ◽  
Pedicle Flap ◽  
Left Chest ◽  
External Oblique ◽  
Thoracic Wall Defects

Abstract Background The external oblique myocutaneous flap has been previously described for reconstruction of chest-thoracic wall defects smaller than 400–500 cm2. However, it is utilized less often than workhorse flaps such as the omental, pectoralis, rectus abdominis, and latissimus dorsi myocutaneous flaps as many plastic surgeons are not aware that the flap can cover larger areas than previously documented. Case presentation We report a 57-year-old female tobacco user who underwent a resection of a grade 3 breast angiosarcoma resulting in a high left chest wall soft tissue defect approximating 900 cm2. The patient underwent an external oblique myocutaneous pedicle flap reconstruction of the defect, most notably in anticipation of postoperative adjuvant radiation therapy. No gross flap complications and or patient impairment were noted. Thirteen months status post flap reconstruction, the patient underwent an aortic valve replacement requiring re-elevation of the same flap for exposure. The flap demonstrated excellent viability during the procedure and postoperatively. Conclusion The pedicled external oblique myocutaneous flap should be considered when reconstructing larger high chest wall defects when other more common flaps used in chest reconstruction may not be indicated. The external oblique myocutaneous flap is an excellent tool in the armamentarium of any reconstructive surgeon; it is a straightforward and versatile flap that can be safely and reliably used in durable reconstruction of defects of the chest wall and covers defects larger than previously described in the literature.

scholarly journals Repair of Defect in Thoracic Wall Associated with Neoplasms—Literature Review

2018 ◽  
Vol 10 (4) ◽  
pp. 245
Author(s):  
Josiane Morais Pazzini ◽  
Rafael Ricardo Huppes ◽  
Jorge Luiz Costa Castro ◽  
Pedro Carvalho Cassino ◽  
Stella Habib Moreira ◽  
...  
Keyword(s):  
Literature Review ◽  
Chest Wall ◽  
Adjuvant Treatment ◽  
Respiratory Function ◽  
Malignant Tumors ◽  
Surgical Excision ◽  
Thoracic Wall ◽  
Safety Margins ◽  
Materials Used

The major malignant tumors found on the chest wall are sarcomas, including osteosarcomas, chondrosarcomas, fibrosarcomas, and hemangiosarcomas. Treatment of cancer, as well as chronic chest wall conditions, require radical surgical excision of the involved tissues. In addition to surgery, chemotherapy plays a role as adjuvant treatment in tumors affecting the chest wall, reducing chances of metastasis and prolonging the disease. The restoration of the chest wall has the main objective to restore the respiratory function, for this, a procedure is necessary that keeps the chest closed and stable. There are many materials used for chest repair, such as autogenous, synthetic, homologous and heterologous tissues. The main objective of this literature review is to address the main malignancies that affect the chest wall, as well as the resources most used to repair the damage caused by aggressive surgery in an attempt to promote greater safety margins.

scholarly journals Large lateral thoracic defect by chondrosarcoma resection chest wall reconstruction using myocutaneous latissimus dorsal flap without parietal rigid repair

2005 ◽  
Vol 38 (01) ◽  
pp. 43-47
Author(s):  
Jorge O Guerrissi
Keyword(s):  
Chest Wall ◽  
Myocutaneous Flap ◽  
Functional Results ◽  
Chest Wall Reconstruction ◽  
Parietal Pleura ◽  
Subcutaneous Tissues ◽  
Lateral Chest ◽  
The Right ◽  
Alloplastic Mesh ◽  
Respiratory Movements

ABSTRACTA case of a 66 year-old women, with a large chondrosarcoma arising from right lateral chest wall is presented. Parietal pleura, 3rd, 4th, 5th and 6th ribs (lateral arch), underlying muscle, subcutaneous tissues and the right breast were also involved by the tumor. Surgical resection was planned including skin, right breast, 3rd, 4th, 5th and 6th lateral rib arches and parietal pleura; a wide defect was created with exposure of lung. Reconstruction was planned by means of an extensive myocutaneous dorsal flap pedicled on right thoracodorsal vessels; alloplastic mesh for parietal chest wall reconstruction was not used. Two years postoperative results showed no local recurrence and excellent aesthetic and functional results were evident; respiratory function remained unaltered.The progressive rigidity reached by the reconstructed lateral chest wall, allowed us to conclude that the use of myocutaneous flap is enough to avoid paradoxical respiratory movements and any type of alloplastic mesh is unnecessary.

Delayed Vertical Rectus Abdominis Myocutaneous Flap for Anterior Chest Wall Reconstruction

2006 ◽  
Vol 30 (1) ◽  
pp. 120-124 ◽  
Author(s):  
Masao Fujiwara ◽  
Yoko Nakamura ◽  
Akira Sano ◽  
Ei Nakayama ◽  
Miyuki Nagasawa ◽  
...  
Keyword(s):  
Chest Wall ◽  
Myocutaneous Flap ◽  
Anterior Chest Wall ◽  
Rectus Abdominis ◽  
Chest Wall Reconstruction ◽  
Rectus Abdominis Myocutaneous Flap ◽  
Vertical Rectus Abdominis Myocutaneous
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