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J Thorac Cardiovasc Surg 2006;132:986-987
© 2006 The American Association for Thoracic Surgery

Brief Communication

Large chondrosarcoma of the rib invading the mediastinum and the spine

Hideo Morioka, MD, PhDa,*, Hiroo Yabe, MD, PhDa, Shinjiro Kaneko, MD, PhDa, Hironari Takaishi, MD, PhDa, Toshihiko Ueda, MD, PhDb, Masazumi Watanabe, MD, PhDc, Koichi Kobayashi, MD, PhDc, Yoshiaki Toyama, MD, PhDa

a Department of Orthopaedic Surgery, School of Medicine, Keio University, Tokyo, Japan
b Department of Cardiovascular Surgery, Saiseikai Utsunomiya Hospital, Utsunomiya, Japan
c Department of Thoracic Surgery, School of Medicine, Keio University, Tokyo, Japan.

Received for publication May 14, 2006; accepted for publication June 15, 2006.

* Address for reprints: Hideo Morioka, MD, PhD, Department of Orthopaedic Surgery, School of Medicine, Keio University, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan. (Email: morioka@sc.itc.keio.ac.jp).

The first 20% of the full text of this article appears below.

Wide excision, the principal treatment for chondrosarcoma, is difficult in the case of large tumors originating from the trunk. The operation sometimes becomes nearly impossible when surrounding important organs are also infiltrated. In this article, we report the case history of a patient with an extremely large chondrosarcoma originating from the first rib and invading the mediastinum and the spine.

Clinical Summary

A 47-year-old man had a 20-year history of a hard mass on the left side of the neck. Chondrosarcoma arising from the left first rib had been diagnosed at a university hospital where he underwent his first operation for the tumor. Thereafter, the mass recurred, and he had visited several medical institutions for neurologic symptoms in the left arm and dyspnea on exertion. However, successful resection of the tumor was judged to be impossible because of its huge size and infiltration into the thoracic cavity, mediastinum, and spine.

On admission to our hospital, blood pressure was . . . [Full Text of this Article]






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