Huge myxoid chondrosarcoma expanded into the thoracic cavity with spinal involvement

Ming Lu, Zhongxin Zhou, Zixiong Lei, Haomiao Li, Stefano Boriani

June 2019, Volume 28, Issue 2, pp 25 - 30 Case Report Read Full Article

First Online: 04 July 2018

Purpose

En bloc resection is the treatment of choice of myxoid chondrosarcoma. These tumors can produce huge masses. Anatomical constraints limit the possibility to perform en bloc resection in the spine.

Methods

A very huge myxoid chondrosarcoma (14.2 × 10.8 × 11.4 cm) arising from T2 to T5 and invading the whole higher left pleural cavity was observed. Surgical planning according to WBB staging system was performed.

Results

The tumor was successfully submitted to en bloc resection achieving a tumor-free margin as demonstrated by the pathologist’s report.

Conclusions

A careful planning and a multidisciplinary collaboration make possible to perform en bloc resection even in apparently impossible cases.

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