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Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature

INTRODUCTION: Chondrosarcoma (CS) was the third most common primary bone malignancy. Frequently chondrosarcoma was occurring in long bones or in the pelvis. Their localization in the rib is rare. CASE PRESENTATION: A 45-year-old male presented to our institution with a lump in the left breast. A phy...

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Autores principales: Tounsi, Nesrine, Zemni, Ines, Abdelwahed, Nawel, Jbir, Ichraf, Charfi, Lamia, Ben Nasser, Radhi, Chargui, Riadhe, Rahel, Khaled
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393690/
https://www.ncbi.nlm.nih.gov/pubmed/30825641
http://dx.doi.org/10.1016/j.ijscr.2019.02.009
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author Tounsi, Nesrine
Zemni, Ines
Abdelwahed, Nawel
Jbir, Ichraf
Charfi, Lamia
Ben Nasser, Radhi
Chargui, Riadhe
Rahel, Khaled
author_facet Tounsi, Nesrine
Zemni, Ines
Abdelwahed, Nawel
Jbir, Ichraf
Charfi, Lamia
Ben Nasser, Radhi
Chargui, Riadhe
Rahel, Khaled
author_sort Tounsi, Nesrine
collection PubMed
description INTRODUCTION: Chondrosarcoma (CS) was the third most common primary bone malignancy. Frequently chondrosarcoma was occurring in long bones or in the pelvis. Their localization in the rib is rare. CASE PRESENTATION: A 45-year-old male presented to our institution with a lump in the left breast. A physical exam revealed a large, fixed 10 cm mass occupied the entire right breast. Clinical presentation had supposed initially as a sarcoma of the breast. Preoperative unenhanced CT imaging showed well-defined round heterogeneous soft tissue density with hypo dense areas. A core-needle biopsy was taken, which was suggestive of chondrosarcoma grade II. The whole tumor was excised en-bloc along with 4th, 5th and 6th ribs. Reconstruction of the defect was undertaken with polypropylene plate and ipsilateral pedicle latissimus dorsi muscle flap was placed on the alloplastic mesh. The patient had an uneventful postoperative course and was discharged on the 10th postoperative day. No adjuvant treatment was administrated. CONCLUSION: En-bloc resection with appropriate margins and thanks to the evolution of reconstructive surgical techniques used to ensure preservation of respiratory mechanics. All this procedure represents the cornerstone and the only curative option.
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spelling pubmed-63936902019-03-08 Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature Tounsi, Nesrine Zemni, Ines Abdelwahed, Nawel Jbir, Ichraf Charfi, Lamia Ben Nasser, Radhi Chargui, Riadhe Rahel, Khaled Int J Surg Case Rep Article INTRODUCTION: Chondrosarcoma (CS) was the third most common primary bone malignancy. Frequently chondrosarcoma was occurring in long bones or in the pelvis. Their localization in the rib is rare. CASE PRESENTATION: A 45-year-old male presented to our institution with a lump in the left breast. A physical exam revealed a large, fixed 10 cm mass occupied the entire right breast. Clinical presentation had supposed initially as a sarcoma of the breast. Preoperative unenhanced CT imaging showed well-defined round heterogeneous soft tissue density with hypo dense areas. A core-needle biopsy was taken, which was suggestive of chondrosarcoma grade II. The whole tumor was excised en-bloc along with 4th, 5th and 6th ribs. Reconstruction of the defect was undertaken with polypropylene plate and ipsilateral pedicle latissimus dorsi muscle flap was placed on the alloplastic mesh. The patient had an uneventful postoperative course and was discharged on the 10th postoperative day. No adjuvant treatment was administrated. CONCLUSION: En-bloc resection with appropriate margins and thanks to the evolution of reconstructive surgical techniques used to ensure preservation of respiratory mechanics. All this procedure represents the cornerstone and the only curative option. Elsevier 2019-02-14 /pmc/articles/PMC6393690/ /pubmed/30825641 http://dx.doi.org/10.1016/j.ijscr.2019.02.009 Text en © 2019 The Authors http://creativecommons.org/licenses/by/4.0/ This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Tounsi, Nesrine
Zemni, Ines
Abdelwahed, Nawel
Jbir, Ichraf
Charfi, Lamia
Ben Nasser, Radhi
Chargui, Riadhe
Rahel, Khaled
Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title_full Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title_fullStr Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title_full_unstemmed Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title_short Costal chondrosarcoma mimicking a breast cancer: Case report and review of literature
title_sort costal chondrosarcoma mimicking a breast cancer: case report and review of literature
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6393690/
https://www.ncbi.nlm.nih.gov/pubmed/30825641
http://dx.doi.org/10.1016/j.ijscr.2019.02.009
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