title: Manubrioclavicular and Manubriosternal Reconstruction After Radical Resection for Chondrosarcoma of Manubriosternum: A Modified Surgical Technique.
abstract: Primary chondrosarcoma of the manubriosternum is a rare tumor. We describe the case of a 42 year-old man who presented with a swelling of the anterior chest wall. The computed tomography scan of the thorax showed a manubriosternal mass involving both clavicles. True-cut biopsy revealed a low-grade chondrosarcoma. The manubrium, the medial part of the clavicles, the sternum, and all costal cartilages were excised en bloc with wide, clear margins and reconstructed successfully without any residual deficit regarding the stability of the chest wall and upper arm movements. We present this rare case with a modified reconstruction technique using a methyl methacrylate Marlex mesh sandwich plate with excellent results. After 2 years' follow-up, there was no radiologic or clinical signs of recurrence.
authors.affiliation: Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia. Electronic address: drihc@hotmail.co.uk.
authors.forename: Ikram ul haq
authors.initials: Iu
authors.lastname: Chaudhry
authors.affiliation: Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
authors.forename: Zahrah
authors.initials: Z
authors.lastname: Alhajji
authors.affiliation: Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
authors.forename: Fozan
authors.initials: F
authors.lastname: Aldulaijan
authors.affiliation: Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
authors.forename: Hadi
authors.initials: H
authors.lastname: Mutairi
authors.affiliation: Division of Thoracic Surgery, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
authors.forename: Samir S
authors.initials: SS
authors.lastname: Amr
mesh_terms: D000328:Adult; D001706:Biopsy; D001859:Bone Neoplasms / Q000175:diagnosis / Q000601:surgery*; D002813:Chondrosarcoma / Q000175:diagnosis / Q000601:surgery*; D002968:Clavicle; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D012086:Reoperation; D013526:Surgical Mesh; D013905:Thoracoplasty / Q000379:methods*; D014057:Tomography, X-Ray Computed