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CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting

Objective: Primary bony tumors of the chest wall are usually benign and most commonly located in the ribs or sternum. Chondrosarcoma is regarded as one of the most frequent primary malignancies of the chest wall and its incidence after a sternotomy for a cardiac procedure is extremely rare. We prese...

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Autores principales: Singh, Vijay A., Abreu, Juan, Bowman, Kimberly, Shariff, Masood A., McGinn, Joseph T.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Open Science Company, LLC 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556636/
https://www.ncbi.nlm.nih.gov/pubmed/23372861
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author Singh, Vijay A.
Abreu, Juan
Bowman, Kimberly
Shariff, Masood A.
McGinn, Joseph T.
author_facet Singh, Vijay A.
Abreu, Juan
Bowman, Kimberly
Shariff, Masood A.
McGinn, Joseph T.
author_sort Singh, Vijay A.
collection PubMed
description Objective: Primary bony tumors of the chest wall are usually benign and most commonly located in the ribs or sternum. Chondrosarcoma is regarded as one of the most frequent primary malignancies of the chest wall and its incidence after a sternotomy for a cardiac procedure is extremely rare. We present a case of sternal chondrosarcoma. Methods: The patient presented with a sternal mass 4 years after undergoing coronary artery bypass grafting for ischemic coronary artery disease. The mass originally emanated from the upper portion of the patients’ sternum and then rapidly enlarged to include the anterior aspects of his neck. Radiologic imaging studies were undertaken: computed tomographic scan and magnetic resonance imaging, with surgical intervention for excision. Results: Computed tomographic scan and magnetic resonance imaging established an 8.4 × 6.2 × 8.6 cm(3) complex solid tissue mass within the lower neck arising from the sternal manubrium, with extensive bone destruction. Computed tomography-guided biopsy showed cells of uncertain significance. Surgical excision was performed and the mass was diagnosed as a grade II chondrosarcoma. Discussion: Primary sarcomas of the sternum though uncommon are potentially curable with wide surgical excision. Success depends on tumor histologic type and grade, which dictate recurrence.
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spelling pubmed-35566362013-01-31 CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting Singh, Vijay A. Abreu, Juan Bowman, Kimberly Shariff, Masood A. McGinn, Joseph T. Eplasty Journal Article Objective: Primary bony tumors of the chest wall are usually benign and most commonly located in the ribs or sternum. Chondrosarcoma is regarded as one of the most frequent primary malignancies of the chest wall and its incidence after a sternotomy for a cardiac procedure is extremely rare. We present a case of sternal chondrosarcoma. Methods: The patient presented with a sternal mass 4 years after undergoing coronary artery bypass grafting for ischemic coronary artery disease. The mass originally emanated from the upper portion of the patients’ sternum and then rapidly enlarged to include the anterior aspects of his neck. Radiologic imaging studies were undertaken: computed tomographic scan and magnetic resonance imaging, with surgical intervention for excision. Results: Computed tomographic scan and magnetic resonance imaging established an 8.4 × 6.2 × 8.6 cm(3) complex solid tissue mass within the lower neck arising from the sternal manubrium, with extensive bone destruction. Computed tomography-guided biopsy showed cells of uncertain significance. Surgical excision was performed and the mass was diagnosed as a grade II chondrosarcoma. Discussion: Primary sarcomas of the sternum though uncommon are potentially curable with wide surgical excision. Success depends on tumor histologic type and grade, which dictate recurrence. Open Science Company, LLC 2013-01-24 /pmc/articles/PMC3556636/ /pubmed/23372861 Text en Copyright © 2013 The Author(s) http://creativecommons.org/licenses/by/2.0/ This is an open-access article whereby the authors retain copyright of the work. The article is distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Journal Article
Singh, Vijay A.
Abreu, Juan
Bowman, Kimberly
Shariff, Masood A.
McGinn, Joseph T.
CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title_full CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title_fullStr CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title_full_unstemmed CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title_short CASE REPORT Sternal Chondrosarcoma After Sternotomy for Coronary Artery Bypass Grafting
title_sort case report sternal chondrosarcoma after sternotomy for coronary artery bypass grafting
topic Journal Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3556636/
https://www.ncbi.nlm.nih.gov/pubmed/23372861
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