Excision of thoracic vertebral chondrosarcoma after spinal decompression

Asian Cardiovasc Thorac Ann. 2018 May;26(4):311-313. doi: 10.1177/0218492318763431. Epub 2018 Feb 27.

Abstract

A 44-year-old man presented with an abnormal chest shadow. Computed tomography-guided biopsy showed a chondral tumor of the thoracic vertebrae. Five years later, he developed a walking disorder, left leg numbness, and a vesicorectal disorder. Emergency orthopedic spinal decompression was performed. Eight months later, the residual tumor had become larger and was adjacent to the aorta. Prior to thoracotomy, an intraaortic stent was inserted. The 4th and 5th ribs were invaded by the tumor. The entire tumor and chest wall were excised with the aortic adventitia. The tumor was diagnosed as a low-grade chondrosarcoma of the thoracic vertebrae.

Keywords: Aorta; Chondrosarcoma; Neoplasm recurrence; Spinal neoplasms; Stents; Thoracic vertebrae; local.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Biopsy
  • Chondrosarcoma / complications
  • Chondrosarcoma / diagnostic imaging
  • Chondrosarcoma / pathology
  • Chondrosarcoma / surgery*
  • Decompression, Surgical*
  • Humans
  • Male
  • Neoplasm Grading
  • Neoplasm Invasiveness
  • Osteotomy*
  • Ribs / diagnostic imaging
  • Ribs / pathology
  • Ribs / surgery*
  • Spinal Neoplasms / complications
  • Spinal Neoplasms / diagnostic imaging
  • Spinal Neoplasms / pathology
  • Spinal Neoplasms / surgery*
  • Thoracic Vertebrae / diagnostic imaging
  • Thoracic Vertebrae / pathology
  • Thoracic Vertebrae / surgery*
  • Thoracotomy*
  • Tomography, X-Ray Computed
  • Treatment Outcome