Chang L Y, Lee M C, Chang C H
Changgeng Yi Xue Za Zhi. 1989 Jun 20;12(2):107-10.
Chondrosarcoma is second in frequency only to osteogenic sarcoma as a malignant tumor of bone, and constitutes 17 to 22% of all bone tumors. However, chondrosarcoma is the most common malignant tumor of the sternum or rib. The natural history of chest wall chondrosarcoma is one of slow growth and local recurrence. Wide excision is the main treatment, but usually plastic surgery is needed for chest wall reconstruction. A 29-year-old male patient visited to local clinic due to URI symptoms (eg: cough, rhinorrhea). Routine chest X-ray examination showed a huge tumor within L't chest cavity and chondrosarcoma was proved via tissue biopsy. P't underwent surgery for total removal of the tumor and corresponding rib (3rd rib) and the chest wall defect was repaired with bovine pericardium. So far, after follow-up and treatment for 4 months, there is no evidence of recurrence.
软骨肉瘤作为一种骨恶性肿瘤,其发病率仅次于骨肉瘤,占所有骨肿瘤的17%至22%。然而,软骨肉瘤是胸骨或肋骨最常见的恶性肿瘤。胸壁软骨肉瘤的自然病程是生长缓慢且局部复发。广泛切除是主要治疗方法,但通常需要整形手术来重建胸壁。一名29岁男性患者因上呼吸道感染症状(如咳嗽、流涕)前往当地诊所就诊。常规胸部X线检查显示左胸腔内有一个巨大肿瘤,经组织活检证实为软骨肉瘤。患者接受了手术,完整切除肿瘤及相应肋骨(第3肋),并用牛心包修复胸壁缺损。迄今为止,经过4个月的随访和治疗,没有复发迹象。