Mihălţan Florin, Munteanu Ioana, Trenchea Mihaela, Bădescu Camelia, Arghir Oana Cristina, Ulmeanu Dan, Galbenu Paul
Institutul National de Pneumologie Marius Nasta Bucureşti.
Pneumologia. 2009 Oct-Dec;58(4):233-8.
Primary tumors of the sternum are unusual, and, of these chondrosarcoma is extremely rare. Prior cases were more frequent in men. It is the consensus that central (axial) skeletal lesions are always suspected of malignancy. It is difficult to deduce from the roengenographic and pathologic findings the presence of a sternal tumor. This case report of primary sternal chondrosarcoma illustrated an extremely rare cartilaginous lesion in a male 64 years old. Extensive sternal excision was indicated despite the apparent benignity of the tumor. This aggressive surgical method facilitated the diagnosis of a malignant tumor with moderate cellular differentiation G2 chondrosarcoma. After surgery done, bilateral pleural empiema occurred.
原发性胸骨肿瘤较为罕见，其中软骨肉瘤极为少见。既往病例多见于男性。目前的共识是，中央（轴向）骨骼病变总是怀疑为恶性。从X线影像学和病理检查结果很难推断胸骨肿瘤的存在。本例原发性胸骨软骨肉瘤病例报告显示了一名64岁男性身上极为罕见的软骨病变。尽管肿瘤外观看似良性，但仍需进行广泛的胸骨切除术。这种积极的手术方法有助于诊断为中度细胞分化的G2级软骨肉瘤恶性肿瘤。手术后，发生了双侧胸腔积脓。
