Abdullah Lava, Alsulaiman Sihaam Saleh, Alsalhani Obai Mustafa, Alkheder Ahmad, Al-Sulaiman Ibrahim Ali
Department of Obstetrics and Gynecology.
Orthopedic Surgery Department.
Ann Med Surg (Lond). 2023 May 10;85(6):3129-3132. doi: 10.1097/MS9.0000000000000821. eCollection 2023 Jun.
Chodrosarcoma is the third most common primary malignancy of the bone, it is considered the most frequent malignancy of the chest wall. Chondrosarcoma at the costovertebral junction is rare and few cases are described in the literature.
The authors present a case of a 47-year-old female with a complaint of chronic pain in the right posterior upper chest, dyspnea, and episodes of dizziness.The diagnosis of low-grade chondrosarcoma at the posterior costovertebral junction was made by video-assisted thoracic surgery and computed tomography.The surgical management included resection of the tumor and parts of adjacent ribs.
Chondrosarcoma is chemotherapy and radiotherapy-resistant. The total surgical excision of the tumor with sufficient margins is usually curative.
A follow-up is necessary because of the potential for recurrence.
软骨肉瘤是第三常见的原发性骨恶性肿瘤，被认为是胸壁最常见的恶性肿瘤。肋椎关节处的软骨肉瘤罕见，文献中报道的病例很少。
作者报告一例47岁女性，主诉右后上胸部慢性疼痛、呼吸困难和头晕发作。通过电视辅助胸腔镜手术和计算机断层扫描诊断为肋椎关节处低度软骨肉瘤。手术治疗包括切除肿瘤及部分相邻肋骨。
软骨肉瘤对化疗和放疗耐药。肿瘤切缘足够的完整手术切除通常可治愈。
由于有复发的可能，随访是必要的。
