TY - JOUR
T1 - Thoraco-abdominal chondrosarcoma
AU - Felipe Fuenzalida, S.
AU - Juan Pablo Espinoza, G.
AU - Roberto Charles, C.
AU - Gonzalo Carrasco, A.
AU - Ricardo Espinoza, G.
PY - 2012/2
Y1 - 2012/2
N2 - Chondrosarcomas represent the third primary malignant bone tumor. Costal location occurs in 12%, being the most common tumor of the ribs. It affects most frequently in the second and fifth decades of life. This tumor is histologically classified into grades 1, 2 and 3 in descending order of differentiation. For grade 2, with oncologic resection, there is a 10-year survival of 64%, and a 10% risk for metastasis. Radiotherapy has a limited therapeutic role and chemotherapy has not shown benefits. We report a case of a 45 years old woman, who presented with a symptomatic growing mass in the right rib cage, of three months of evolution, whose evaluation by magnetic resonance imaging and computed tomography shows a sarcomatous tumor with involvement of ribs, muscles, diaphragm, pleura, peritoneum and liver. A small amount of intraperitoneal free fluid was observed. A block resection was made, resulting a 16.8 cm long at the widest point chondrosarcoma, grade 2, with involvement of all layers of the wall, tumor microfoci in the liver capsule and malignant tumor cells in peritoneal fluid.
AB - Chondrosarcomas represent the third primary malignant bone tumor. Costal location occurs in 12%, being the most common tumor of the ribs. It affects most frequently in the second and fifth decades of life. This tumor is histologically classified into grades 1, 2 and 3 in descending order of differentiation. For grade 2, with oncologic resection, there is a 10-year survival of 64%, and a 10% risk for metastasis. Radiotherapy has a limited therapeutic role and chemotherapy has not shown benefits. We report a case of a 45 years old woman, who presented with a symptomatic growing mass in the right rib cage, of three months of evolution, whose evaluation by magnetic resonance imaging and computed tomography shows a sarcomatous tumor with involvement of ribs, muscles, diaphragm, pleura, peritoneum and liver. A small amount of intraperitoneal free fluid was observed. A block resection was made, resulting a 16.8 cm long at the widest point chondrosarcoma, grade 2, with involvement of all layers of the wall, tumor microfoci in the liver capsule and malignant tumor cells in peritoneal fluid.
KW - Chondrosarcoma
KW - Histological grading
KW - Rib
UR - http://www.scopus.com/inward/record.url?scp=84860162266&partnerID=8YFLogxK
U2 - 10.4067/s0718-40262012000100012
DO - 10.4067/s0718-40262012000100012
M3 - Article
AN - SCOPUS:84860162266
SN - 0379-3893
VL - 64
SP - 72
EP - 75
JO - Revista Chilena de Cirugia
JF - Revista Chilena de Cirugia
IS - 1
ER -