Rajan Venkatesa Kumar Anakaputhur, Subbarayan Siva Kumaran, Govindarajan Arun Kumar, Subramanian Harikrishnan, Purushothaman Chandrasekar, Raghavendrarao Raghuram Arani
Department of Cardiothoracic Surgery, Kauvery hospital, Alwarpet, Chennai, 600018 India.
Department of Cardiac Anaesthesia, Kauvery hospital, Alwarpet, Chennai, India.
Indian J Thorac Cardiovasc Surg. 2025 Apr;41(4):490-492. doi: 10.1007/s12055-024-01866-8. Epub 2024 Nov 25.
Primary chondrosarcoma of the chest wall is uncommon but spreads aggressively. The primary treatment is radical excision because it is comparatively resistant to chemotherapy and radiation. When such massive tumors are removed with safety margins, a significant chest wall defect remains, necessitating reconstruction. Reconstruction has involved the use of materials such as titanium plates, polypropylene mesh with methyl methacrylate, sternal steel wires, etc. Chest wall reconstruction with muscle flaps alone after en-bloc resection of chondrosarcoma with extensive mediastinal and thoracic involvement is rarely performed, nowadays. We report a case of massive chondrosarcoma resected en-bloc with a bilateral pectoralis major myocutaneous flap reconstruction.
胸壁原发性软骨肉瘤并不常见，但具有侵袭性生长特点。主要治疗方法是根治性切除，因为它对化疗和放疗相对不敏感。当切除如此巨大的肿瘤并保证安全切缘时，会遗留明显的胸壁缺损，需要进行重建。重建方法包括使用钛板、带甲基丙烯酸甲酯的聚丙烯网、胸骨钢丝等材料。如今，对于伴有广泛纵隔和胸腔受累的软骨肉瘤进行整块切除后仅用肌瓣进行胸壁重建的情况很少见。我们报告一例通过双侧胸大肌肌皮瓣重建对巨大软骨肉瘤进行整块切除的病例。
