Publication details

Chondrosarkom sterna - kazuistika

Title in English Sternal chondrosarcoma a case report
Authors

CHOVANEC Zdeněk REŠKA Michal BERKOVÁ Alena ČERVEŇÁK Vladimír VESELÝ Jiří DVOŘÁK Zdeněk HANSLÍK Tomáš PEŠTÁL Adam PRUDIUS Vadim ČAPOV Ivan

Year of publication 2021
Type Article in Periodical
Magazine / Source Onkologická revue
MU Faculty or unit

Faculty of Medicine

Citation
Web https://onkologickarevue.cz/cs/chondrosarkom-sterna-kazuistika
Keywords chondrosarcoma; sternum; surgical approach
Description This case report presents the case of a 68-year-old man, who presented with slowgrowing, slightly painful infiltration in the lower half of the sternum observed for two years. According to the performed computed tomography (CT) examination, a 7 x 6 x 6.5 cm infiltration of the middle part of the sternum was found. Lesion was extending 1 cm ventrally and 4 cm dorsally into the surrounding soft tissues. An open biopsy was performed with the finding of moderately differentiated (Grade two = G2) conventional chondrosarcoma. Subsequently a multidisciplinary team composed of: the Musculoskeletal tumour committee of the Masaryk Oncology Institute in Brno, the 1st Orthopaedic clinic of St.Anne’s Faculty Hospital in Brno and the 1st surgical Clinic of St. Anne’s Faculty Hospital had referred the patient to plan and perform the surgical resection of the tumours lesion. A partial resection of the sternum with the tumor was performed, followed by reconstruction of the defect with two condensed polytetrafluoroethylene meshes using the so called “sandwich technique”. Then the defect was strengthened using titanium splints and subsequentlyreconstructed by pectoralis major muscle flap. Definitive histology confirmed the finding of G2 conventional sternal chondrosarcoma.

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