title: [A unique reconstructive technique in a young patient after manubrial recestion in grade II chondrosarcoma].
abstract: OBJECTIVE
  Approximately 30% of malignant, primary bone tumors are chondrosarcomas, which occur on the anterior chest wall most frequently. Patients who are treated with adequate surgical intervention recover well, 10 years survival rate is 97%. Besides the aesthetic outcome, preservation of breathing and loading are crucial.
  
  
  METHODS
  Authors present a case of a 44-year-old male patient who worked as a sport masseur operated on Grade II chondrosarcoma of the manubrium. Concerning the age of the patient, an immediate reconstruction was carried out. The involved part of the sternum was resected with wide margins. The reconstruction was performed with Dual Mesh covered by a pedicled left sided pectoral major muscle. As a unique technique, authors used the tendons of the semitendinous and gracilis muscles to fix both claviculas together to give the proper stability and function for the shoulder girdle.
  
  
  RESULTS
  After an uneventful postoperative period the patient had a fast recovery.
  
  
  CONCLUSIONS
  There are no data in the literature for such a method of fixation of the anterior chest wall. The method is suggested by the authors.
authors.affiliation: Országos Onkológiai Intézet Mellkassebészeti Osztály 1124 Budapest Ráth György u. 7-9. akoskocsis@gmail.com
authors.forename: Akos
authors.initials: A
authors.lastname: Kocsis
authors.forename: László
authors.initials: L
authors.lastname: Agócs
authors.forename: Szilárd
authors.initials: S
authors.lastname: Kostic
authors.forename: Klára
authors.initials: K
authors.lastname: Török
authors.forename: Miklós
authors.initials: M
authors.lastname: Molnár
authors.forename: Bernadett
authors.initials: B
authors.lastname: Lévay
authors.forename: Ferenc
authors.initials: F
authors.lastname: Tóth
authors.forename: Pál
authors.initials: P
authors.lastname: Vadász
authors.forename: Ferenc
authors.initials: F
authors.lastname: Rényi-Vámos
mesh_terms: D000328:Adult; D001859:Bone Neoplasms / Q000473:pathology / Q000601:surgery*; D002813:Chondrosarcoma / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D008371:Manubrium / Q000473:pathology / Q000601:surgery*; D060787:Neoplasm Grading; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013526:Surgical Mesh; D016896:Treatment Outcome