Abstract
Background: Chondrosarcomas are malignant tumors that are most prevalent between the fourth and sixth decades of life. The surgical resection procedure for primary chest wall chondrosarcoma leads to a good outcome, with a lower probability of recurrence and metastasis.
Aim: To report a case of chondrosarcoma resection in the chest wall, and report the evolution of the condition after the resection procedure. Method: This was a young female patient, with tumor recurrence and family genetic history, who underwent resection of a chondrosarcoma in the costal arches. The procedure was carried out at Hospital de Caridade São Vicente de Paulo, Jundiaí – SP, Brazil.
Case Report: Woman, 23 years old, who started pain in the left hemithorax radiating to the interscapular region associated with paresthesia of the right upper limb. She reported surgeries to remove osteochondromas in the lower limbs. Two years ago, she had noticed a small lesion in the left hemithorax, which showed significant growth over a period of one year. After outpatient follow-up, and due to hemodynamic stability, it was decided to perform surgical resection of the tumor in the costal arches due to the evolution of pain and functional loss of the left upper limb in 2022. The patient was followed up by the specialty outpatient clinic, and the procedure demonstrated sufficient to treat the tumor.
Conclusion: It was possible to perform a single-stage approach of extensive tumor resection, associated with the removal of costal arches and subsequent wall reconstruction. The procedure took place with multidisciplinary team planning, and the patient recovered early with maintenance of function.
References
BATISTA, K. T. et al. Reconstruction of chest wall after resection of large tumors. Revista Brasileira de Cirurgia Plástica, v. 29, p. 550–556, 2023.
COSTA, P. R. DA et al. Reconstrução da parede torácica com metilmetacrilato: relato de caso. Rev. Soc. Bras. Cir. Plást.,(1997), p. 266–268, 2007.
DAHLIN, D. C.; UNNI, K. K. Bone tumors: general aspects and data on 8,547 cases. 1986.
GELDERBLOM, H. et al. The clinical approach towards chondrosarcoma. The oncologist, v. 13, n. 3, p. 320–329, 2008.
GOMES, A. C. N. et al. Condrossarcoma em paciente com osteocondromatose múltipla: relato de caso e revisão da literatura. Radiologia Brasileira, v. 39, p. 449–451, 2006.
MARULLI, G. et al. Primary chest wall chondrosarcomas: results of surgical resection and analysis of prognostic factors. European Journal of Cardio-Thoracic Surgery, v. 45, n. 6, p. e194–e201, 2014.
MERCHAN, E. C. R.; SANCHEZ-HERRERA, S.; GONZALEZ, J. M. Secondary chondrosarcoma. Four cases and review of the literature. Acta orthopaedica belgica, v. 59, p. 76–76, 1993.
MORAES, F. B. DE et al. Condrossarcoma de calcâneo: relato de caso. Revista Brasileira de Ortopedia, v. 49, p. 409–413, 2014.
NOVOA, N. et al. Reconstruction of chest wall defects after resection of large neoplasms: ten-year experience. Interactive CardioVascular and Thoracic Surgery, v. 4, n. 3, p. 250–255, 2005.
O’SULLIVAN, P. et al. Malignant chest wall neoplasms of bone and cartilage: a pictorial review of CT and MR findings. The British Journal of Radiology, v. 80, n. 956, p. 678–684, ago. 2007.
PATEL, S. R.; BENJAMIN, R. S. Sarcomas ósseos e das partes moles e metástases ósseas. Em: In: Braunwald E, Kasper Dl, Fauci As, Jameson Jl, Longo Dl, Hauser S, (Editors). Harrison medicina interna. Rio de Janeiro: Mcgraw-Hill Interamericana do Brasil, 2008. v. 17p. 610–3.
ROSENBERG, N. P. et al. Sternal chondrosarcoma. Jornal de Pneumologia, v. 29, p. 43–44, 2003.
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