Sumiya Ryusuke, Fukui Mariko, Watanabe Yukio, Matsunaga Takeshi, Hattori Aritoshi, Saito Tsuyoshi, Takamochi Kazuya, Suzuki Kenji
Department of General Thoracic Surgery, Juntendo University School of Medicine, Tokyo, Japan.
Department of Human Pathology, Juntendo University School of Medicine, Tokyo, Japan.
Ann Thorac Surg Short Rep. 2024 Apr 2;2(4):688-691. doi: 10.1016/j.atssr.2024.03.005. eCollection 2024 Dec.
Sternal chondrosarcoma is a rare malignant condition. Although surgical resection is crucial, the reconstruction of sternal defects is challenging. A 64-year-old male patient with a history of 2 separate sternal tumor resections received a diagnosis of sternal chondrosarcoma recurrence. Because the tumor caused bone destruction and invasion into the sternum, the sternum and tumor were resected. Sternal reconstruction with autologous ribs was performed. Although the tumor was diagnosed as a recurrent chondrosarcoma, the patient had a long disease-free survival postoperatively. Local control is important in chondrosarcomas, and autogenous rib grafts may be an option for patients with sternal defects.
胸骨软骨肉瘤是一种罕见的恶性疾病。尽管手术切除至关重要,但胸骨缺损的重建具有挑战性。一名64岁男性患者有两次独立的胸骨肿瘤切除病史,被诊断为胸骨软骨肉瘤复发。由于肿瘤导致骨质破坏并侵犯胸骨,遂将胸骨和肿瘤切除。采用自体肋骨进行胸骨重建。尽管肿瘤被诊断为复发性软骨肉瘤,但患者术后有较长的无病生存期。局部控制在软骨肉瘤中很重要,自体肋骨移植可能是胸骨缺损患者的一种选择。