Table of Contents    
Case Report
 
Massive chondrosarcoma of sternum: A surgical challenge in resection and reconstruction of a rare tumor
R.S. Mohil1, Anurag Pandey2, Sujata Sarabahi3, V.K. Tiwari4
1Consultant & Associate Professor, Department of Surgery Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
2Senior Resident, Department of Burns, Plastic and Reconstructive Surgery Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
3Senior Plastic Surgeon, Department of Burns, Plastic and Reconstructive Surgery Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.
4Professor & Consultant, Department of Burns, Plastic and Reconstructive Surgery Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi, India.

doi:10.5348/ijcri-2011-07-42-CR-2

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R S Mohil
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Phone: 9868952676,91-11-26882272
Email: rsmohil@yahoo.com, rsmohil@gmail.com

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How to cite this article:
Mohil RS, Pandey A, Sarabahi S, Tiwari VK. Massive chondrosarcoma of sternum: A surgical challenge in resection and reconstruction of a rare tumor. International Journal of Case Reports and Images 2011;2(7):4-7.


Abstract
Introduction: Reconstruction of chest wall defects remains a very challenging issue and often requires prosthetic repair to prevent flail chest and paradoxical breathing.
Case Report: We report a case of chest wall reconstruction following resection of a long standing, massive, well differentiated, primary chondrosarcoma of the sternum which was involving the entire body of sternum and adjoining costal cartilages. Excision of entire sternum (except manubrium) and 3rd to 8th ribs left a large defect (20x15 cm) in the chest wall which was reconstructed with a simple and new three layer technique using Prolene-Vicryl mesh, long split rib grafts and lattissimus dorsi muscle (LD) flap. Patient was weaned off the ventilator on seventh post operative day and discharged after four weeks.
Conclusion: This is a simple chest wall reconstruction technique for wide chest wall defects and is effective, safe, low cost and easily reproducible.

Key Words: Sternal chondrosarcoma, Chest wall repair

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Author Contributions:
R. S. Mohil - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Anurag Pandey - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Sujata Sarabahi - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
V. K. Tiwari - Substantial contributions to conception and design, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission:
The corresponding author is the guarantor of submission.
Source of support:
None
Conflict of interest:
Authors declare no conflict of interest.
Copyright:
© R.S. Mohil et. al. 2011; This article is distributed the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any means provided the original authors and original publisher are properly credited. (Please see Copyright Policy for more information.)