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.
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。