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Case Reports
. 2012 May 2:7:40.
doi: 10.1186/1749-8090-7-40.

Sternal reconstruction for unusual chondrosarcoma: innovative technique

Mario Nosotti  1 , Lorenzo Rosso, Paolo Mendogni, Davide Tosi, Alessandro Palleschi, Antonina Parafioriti, Luigi Santambrogio
Affiliations
Case Reports

Sternal reconstruction for unusual chondrosarcoma: innovative technique

Mario Nosotti et al. J Cardiothorac Surg. .

Abstract

The authors report a clinical case of a primary sternal chondrosarcoma, presented as a mass in the anterior mediastinum. The patient was treated with subtotal sternectomy and sternal transplantation followed by radiotherapy. Twelve months after surgery, the patient is in good clinical condition, without any sign of tumor relapse and with normal respiratory mechanics. Primary malignant tumors of the sternum are uncommon and a presentation mimicking thymoma is rare and unreported. The stermal replacement with a cryopreserved allograft sternum is an innovative technique that overcomes the problems related to the prosthetic biocompatibility or to the bone autograft.

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Figures

Figure 1
Figure 1
CT images show the mass into the anterior mediastinum. On the right it is possible to observe the calcified connection between the mass and the sternum; no cortical erosion is present.
Figure 2
Figure 2
CT scan reconstruction 2 months after surgery. The transplanted sternum appears well integrated with the rib cage.
See this image and copyright information in PMC

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