The surgical management of a giant pleomorphic liposarcoma of the chest wall.
Pleomorphic liposarcomas are rare entities with less than 40 cases diagnosed each year, of which a small proportion arise from the chest wall. Optimal management involves wide local resection with negative margins. We describe the case of a 69-year-old gentleman with a chronically growing chest wall mass. After computed tomography and positron-emission tomography, the mass was resected. Chest wall reconstruction was performed with mesh and a transverse rectus abdominis myocutaneous flap. The patient did well postoperatively, with no evidence of recurrence at 10 months.
Section of Thoracic Surgery, Yale School of Medicine, New Haven, CT, USA mark.maxfield@yale.edu.
Mark W
MW
Maxfield
Section of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA.
Christopher C
CC
Chang
Section of Plastic Surgery, Yale School of Medicine, New Haven, CT, USA.
Deepak
D
Narayan
Section of Thoracic Surgery, Yale School of Medicine, New Haven, CT, USA.
Anthony W
AW
Kim
D000368:Aged; D006801:Humans; D008080:Liposarcoma / Q000601:surgery*; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps; D013526:Surgical Mesh; D019616:Thoracic Surgical Procedures / Q000379:methods*; D035441:Thoracic Wall / Q000601:surgery*
Liposarcoma; sarcoma; surgical mesh; thoracic wall; wound closure techniques