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J Thorac Cardiovasc Surg 2007;133:1112-1114
© 2007 The American Association for Thoracic Surgery

Brief Communication

The combination of multiple materials in the creation of an artificial anterior chest cage after extensive demolition for recurrent chondrosarcoma

^a Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy
^b Department of Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy
^c Department of Radiology, National Cancer Institute, Pascale Foundation, Naples, Italy.

Received for publication October 29, 2006; accepted for publication November 28, 2006.

^_* Address for reprints: Gaetano Rocco, MD, FRCS (Ed), FECTS, Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Via M Semmola, 81, 80131 Naples, Italy. (Email: Gaetano.Rocco@btopenworld.com).

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

Primary sarcomas represent a serious oncologic challenge because, at times, their surgical removal creates large defects requiring covering with several autologous, homologous, or prosthetic materials used in 1 or 2 graft combinations.^1-4 Although the experience is more limited, relapsing sarcomas often call for even more extensive demolitions of the chest wall and difficult reconstructive efforts.⁵

Clinical Summary

A 64-year-old man presented in January 2006 with a massive locoregional recurrence of a chest wall chondrosarcoma (Figure 1) originally resected 10 months earlier, on tumor-free margins, by removing the anterior right-sided ribs III to VI and covering the chest wall defect with Marlex (Bard, Cranston, RI) mesh reinforced by a latissimus dorsi flap.

View larger version (117K):   Figure 1. Chest computed tomography showing the extent of the recurrence from chondrosarcoma at different levels.

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