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Pavelescu C, Bebliuc A, Asmarandei R, Safta MS, Zaharia O, Costache VS, Molnar A, Gheorghiță D, Voica C, Moldovan H. Giant Sternal Chondrosarcoma in a 50-Year-Old Patient. Healthcare (Basel) 2022; 10:healthcare10010158. [PMID: 35052321 PMCID: PMC8776122 DOI: 10.3390/healthcare10010158] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 01/06/2022] [Accepted: 01/11/2022] [Indexed: 11/16/2022] Open
Abstract
Chondrosarcomas represent approximately 20% of primary malignant bone cancers, being known as the most frequent neoplasia of the anterior thoracic wall. In our case, we present a case of a primary sternal chondrosarcoma in a 50-year-old female patient that has been polychemiotherapy and radiotherapy treated for breast cancer. Despite the initial treated malignancy of breast cancer in the personal pathologic history of the patient, it was discovered that the sternal tumor was not a metastatic disease from the breast neoplasm. After multiple investigations, the patient was successfully treated for the sternal chondrosarcoma after a radical sternal resection with a chest wall reconstruction completed with two titanium plates that were anchored on the ribs and with the placement of methyl methacrylate mesh.
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Affiliation(s)
- Cezar Pavelescu
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
| | - Alexandru Bebliuc
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
| | - Rareș Asmarandei
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania;
| | - Maria Sabina Safta
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania;
| | - Ondin Zaharia
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania;
- Prof. Dr. Theodor Burghele Clinical Hospital, 061344 Bucharest, Romania
| | - Victor Sebastian Costache
- Sf. Constantin Hospital, 500388 Brasov, Romania;
- Faculty of Medicine, Titu Maiorescu University, 040441 Bucharest, Romania
| | - Adrian Molnar
- Faculty of Medicine, Iuliu Hatieganu University of Medicine and Pharmacy, 400000 Cluj-Napoca, Romania;
- Heart Institute, 400001 Cluj-Napoca, Romania
| | - Daniela Gheorghiță
- Faculty of Materials Science and Engineering, Politehnica University of Bucharest, 060042 Bucharest, Romania
- Correspondence: (D.G.); (H.M.)
| | - Cristian Voica
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
| | - Horațiu Moldovan
- Bucharest Clinical Emergency Hospital, 014461 Bucharest, Romania; (C.P.); (A.B.); (R.A.); (M.S.S.); (C.V.)
- Faculty of Medicine, Carol Davila University of Medicine and Pharmacy, 050474 Bucharest, Romania;
- Correspondence: (D.G.); (H.M.)
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Sternal reconstruction for unusual chondrosarcoma: innovative technique. J Cardiothorac Surg 2012; 7:40. [PMID: 22551304 PMCID: PMC3403876 DOI: 10.1186/1749-8090-7-40] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/31/2011] [Accepted: 05/02/2012] [Indexed: 11/10/2022] Open
Abstract
The authors report a clinical case of a primary sternal chondrosarcoma, presented as a mass in the anterior mediastinum. The patient was treated with subtotal sternectomy and sternal transplantation followed by radiotherapy. Twelve months after surgery, the patient is in good clinical condition, without any sign of tumor relapse and with normal respiratory mechanics. Primary malignant tumors of the sternum are uncommon and a presentation mimicking thymoma is rare and unreported. The stermal replacement with a cryopreserved allograft sternum is an innovative technique that overcomes the problems related to the prosthetic biocompatibility or to the bone autograft.
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Mhandu P, Chaubey S, Khan H, Deshpande R. Unusual presentation of a chondrosarcoma as an anterior mediastinal mass. J Surg Case Rep 2012; 2012:1. [PMID: 24960818 PMCID: PMC3649524 DOI: 10.1093/jscr/2012.4.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Hsu HL, Liu KL, Wu YM. An unusual case of a "hepatic" tumor. Gastroenterology 2011; 140:e11-2. [PMID: 21185420 DOI: 10.1053/j.gastro.2010.01.064] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2010] [Accepted: 01/27/2010] [Indexed: 12/02/2022]
Affiliation(s)
- Huan-Lun Hsu
- Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan
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Alpert JB, Nonaka D, Chachoua A, Pass HI, Ko JP. Increasing dyspnea due to an anterior mediastinal mass. Chest 2011; 139:217-23. [PMID: 21208885 DOI: 10.1378/chest.10-0383] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Affiliation(s)
- Jeffrey B Alpert
- Department of Radiology, Thoracic Imaging, New York University Langone Medical Center, 560 First Ave, IRM 236, New York, NY 10016, USA.
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