Dedifferentiated chondrosarcoma of the chest wall : reconstruction with polypropylene mesh using a transverse rectus abdominis myocutaneous flap

• Published in: General thoracic and cardiovascular surgery Vol. 59; no. 3; pp. 199 - 201
• Main Authors: Noda, Masafumi, Endo, Chiaki, Hosaka, Tomoko, Sado, Tetsu, Sakurada, Akira, Hoshikawa, Yasushi, Okada, Yoshinori, Kondo, Takashi
• Format: Journal Article
• Language: English
• Published: Japan Springer Japan 01.03.2011; Springer Nature B.V
• Subjects: Biopsy; Cardiac Surgery; Cardiology; Case Report; Cell Dedifferentiation; Chest wall tumor; Chondrosarcoma - pathology; Chondrosarcoma - surgery; Dedifferentiated chondrosarcoma; Female; Humans; Medicine; Medicine & Public Health; Middle Aged; Polypropylenes; Rectus Abdominis - surgery; Surgical Flaps; Surgical Mesh; Surgical Oncology; Thoracic Neoplasms - pathology; Thoracic Neoplasms - surgery; Thoracic Surgery; Thoracic Surgical Procedures - instrumentation; Thoracic Wall - pathology; Thoracic Wall - surgery; Tomography, X-Ray Computed; Transverse rectus abdominis myocutaneous flap; Treatment Outcome; Chest wall tumor; Dedifferentiated chondrosarcoma; Transverse rectus abdominis myocutaneous flap
• ISSN: 1863-6705; 1863-6713; 1863-6713
• DOI: 10.1007/s11748-010-0630-y

We report a case of dedifferentiated chondrosarcoma of the chest wall. After resection, the chest wall defect was reconstructed using polypropylene mesh and a transverse rectus abdominis myocutaneous flap. A 61-year-old woman presented with a 16-year history of a slow-growing mass underneath the right chest wall. After percutaneous biopsy, preoperative cytopathological examination of the large mass revealed dedifferentiated chondrosarcoma. The tumor was resected with a wide margin along with the chest wall including skin, the right seventh to tenth ribs, and part of the diaphragm. The chest wall defect was reconstructed with a polypropylene (Marlex) mesh sheet followed by a left-side transverse rectus abdominis myocutaneous flap.