Asian Cardiovasc Thorac Ann 2006;14:261-262
© 2006 Asia Publishing EXchange Ltd
IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY |
Giant Chondroblastic Osteosarcoma of the Chest Wall
Ahmet S Bayram, MD,
Cengiz Gebitekin, MD,
Mehmet M Erol, MD,
Ulviye Yalçinkaya, MD1
Department of Thoracic Surgery
1 Department of Pathology, Uludag University, School of Medicine, Bursa, Turkey
For reprint information contact: Ahmet S Bayram, MD, Tel.: 90 224 442 9166 Fax: 90 224 442 8698 e-mail: asbayram2{at}yahoo.com, Uludag University, School of Medicine, Department of Thoracic Surgery, Bursa 16059, Turkey.
A 27-year-old female presented with a 2-year history of a painful and slow-growing mass underneath the right breast. She has also experienced gradually increasing dyspnea on exertion in the last 6 months that was cauesd by a large pleural effusion(Figure 1a
). Computorized tomography (Figure 1b), Magnetic Resonance Imaging (Figure 1c) showed giant chest wall tumor. The 24 x12 cm tumor was excised with partial resection of (Figure 2a) 3–7th ribs and diaphragm (Figure 2b). The diaphragm was primarily repaired using 1/0 interrupted silk sutures and the chest wall was reconstructed with two layers of 30 x 20cm, 2mm Gore-Tex PTFE graft by sandwich technique. Pathology confirmed completely resected low-grade chondroblastic osteosarcoma(Figure 2d). The patient is alive and well 3 months after surgery.
