Chest Wall Chondrosarcoma: Highly Expectant Survival After Radical Resection and Optimal Reconstruction

Gwely, Nour Eldin; Elsaid, Ahmed Mostafa; Abdelmohty, Hysam Elsyead; Rizk, Walid Hassan

doi:10.21608/zumj.2020.47911.1987

Chest Wall Chondrosarcoma: Highly Expectant Survival After Radical Resection and Optimal Reconstruction

Document Type : Original Article

Authors

¹ Cardiothoracic Surgery Department, faculty of medicineMansoura University, Egypt

² Cardiothoracic Surgery Department, facuty of medicine, Mansoura University, Egypt

³ cardiothoracic surgery department, faculty of medicine, Mansoura university, Mansoura city,Egypt.

⁴ cardiothoracic surgery department, faculty of medicine, Mansoura university, Mansoura city, Egypt

10.21608/zumj.2020.47911.1987

Abstract

Abstract:
Background: Chest wall chondrosarcoma is the most common primary tumor of chest wall. Radical excision with wide safety margin and optimal reconstruction of chest wall by prosthetic material is a corner stone in management. Aim of this study is to evaluate our surgical technique in management of thoracic chodrosarcoma
Patients and Methods: Over a period of 5 years, 24 cases with chest wall chondrosarcoma were reviewed and evaluated in Cardiothoracic Surgery Department in Mansoura University.
Results: in this study, 16 males and 8 females presented by rib chondrosarcoma (87.5%) and sternal chondrosarcoma (12.5%). Patients presented by painful mass were (62.5%) while those with mass only were (37.5%). Wide excision with safety margin of 4-5 cm was done, reconstruction was done by prolene mesh only in 33.3% and by prolene mesh with bone cement in (66.6%) Minimal complications in the form of fever (12.5%), seroma (8.3%) and infection (4.2%) were reported.
Conclusion: We advise aggressive resection of chrondrosarcoma with wide safety margin and prosthetic material reconstruction of chest wall as it is the concept to expect high survival and low recurrence rates.

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