PDF(Pubmed)
Abstract：
UNASSIGNED: Chondrosarcoma of the manubrium sterni is an exceedingly rare localization of chondrosarcoma. Its treatment poses a significant therapeutic challenge due to the tumor\'s proximity to the mediastinal organs and the clavicles. This challenge is magnified when the inner ends need to be resected due to tumor contact with the sternoclavicular joints and, more critically, during the reconstruction of the thoracic wall.
METHODS: We present the case of a 71-year-old female with a 45x42x51 mm chondrosarcoma of the manubrium sterni, extending to both sternoclavicular joints. The diagnosis was confirmed cytologically and histologically after an ultrasound-guided biopsy. A surgical strategy involving en bloc resection of the manubrium sterni, the internal ends of both clavicles, and the first two ribs, followed by sternal reconstruction using a synthetic manubrial plate and titanium costal staples without clavicular bridging, was indicated and executed.
UNASSIGNED: This case outlines the surgical considerations and techniques adopted for this complex procedure, emphasizing the operative planning and interdisciplinary collaboration required for a successful outcome.
CONCLUSIONS: At 18 months post-surgery, the patient demonstrated favorable clinical and radiological progress, indicating a positive response to the treatment strategy employed.
METHODS: We present the case of a 71-year-old female with a 45x42x51 mm chondrosarcoma of the manubrium sterni, extending to both sternoclavicular joints. The diagnosis was confirmed cytologically and histologically after an ultrasound-guided biopsy. A surgical strategy involving en bloc resection of the manubrium sterni, the internal ends of both clavicles, and the first two ribs, followed by sternal reconstruction using a synthetic manubrial plate and titanium costal staples without clavicular bridging, was indicated and executed.
UNASSIGNED: This case outlines the surgical considerations and techniques adopted for this complex procedure, emphasizing the operative planning and interdisciplinary collaboration required for a successful outcome.
CONCLUSIONS: At 18 months post-surgery, the patient demonstrated favorable clinical and radiological progress, indicating a positive response to the treatment strategy employed.
摘要：
■胸骨软骨肉瘤是一种极其罕见的软骨肉瘤局部化。由于肿瘤靠近纵隔器官和锁骨，其治疗提出了重大的治疗挑战。当由于肿瘤与胸锁关节接触而需要切除内端时，这种挑战会被放大，更关键的是,在胸壁重建期间。
方法：我们介绍了一个71岁的女性，患有45x42x51毫米的胸骨软骨肉瘤，延伸到胸锁关节。超声引导活检后，通过细胞学和组织学证实了诊断。涉及整块切除胸骨的手术策略，两个锁骨的内端，和前两根肋骨，然后使用合成的人工钢板和无锁骨桥接的钛肋钉进行胸骨重建，被指示并被处决。
■本案例概述了这种复杂手术的手术注意事项和技术，强调成功取得成果所需的业务计划和跨学科合作。
结论：手术后18个月，患者表现出良好的临床和放射学进展，表明对所采用的治疗策略有积极的反应。
方法：我们介绍了一个71岁的女性，患有45x42x51毫米的胸骨软骨肉瘤，延伸到胸锁关节。超声引导活检后，通过细胞学和组织学证实了诊断。涉及整块切除胸骨的手术策略，两个锁骨的内端，和前两根肋骨，然后使用合成的人工钢板和无锁骨桥接的钛肋钉进行胸骨重建，被指示并被处决。
■本案例概述了这种复杂手术的手术注意事项和技术，强调成功取得成果所需的业务计划和跨学科合作。
结论：手术后18个月，患者表现出良好的临床和放射学进展，表明对所采用的治疗策略有积极的反应。
