Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding

Abstract Background Primary sternal chondrosarcoma, although rare, is the most common malignant tumor of the sternum. The gold standard treatment is complete surgical excision, which frequently causes the instability of the thorax necessitating future reconstruction. Local recurrence is common incre...

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Main Authors: Riad Abdel Jalil, Farah A. Abdallah
Format: Article
Language:English
Published: BMC 2023-04-01
Series:Journal of Cardiothoracic Surgery
Subjects:
Online Access:https://doi.org/10.1186/s13019-023-02213-5
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author Riad Abdel Jalil
Farah A. Abdallah
author_facet Riad Abdel Jalil
Farah A. Abdallah
author_sort Riad Abdel Jalil
collection DOAJ
description Abstract Background Primary sternal chondrosarcoma, although rare, is the most common malignant tumor of the sternum. The gold standard treatment is complete surgical excision, which frequently causes the instability of the thorax necessitating future reconstruction. Local recurrence is common increasing the risk of distant metastasis. Case presentation A 60-year-old male patient was diagnosed with primary sternum chondrosarcoma and underwent surgical excision with negative resection margins. Later, he was found to have two local recurrences at 11 months and 37 months post initial excision. The two recurrences were surgically removed followed by local adjuvant radiation. Conclusion The seeding theories have been reported more frequently with relation to diagnostic biopsy procedures, tumor manipulation and self-seeding tumors. The patient developed two local recurrences despite total resection with negative margins, without concerns regarding seeding in distant metastasis.
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spelling doaj.art-8b3900ff3e424bfe8d47deb53ddcef202023-04-09T11:26:41ZengBMCJournal of Cardiothoracic Surgery1749-80902023-04-011811510.1186/s13019-023-02213-5Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seedingRiad Abdel Jalil0Farah A. Abdallah1Department of Thoracic Oncology, King Hussein Cancer CenterDepartment of Research, King Hussein Cancer CenterAbstract Background Primary sternal chondrosarcoma, although rare, is the most common malignant tumor of the sternum. The gold standard treatment is complete surgical excision, which frequently causes the instability of the thorax necessitating future reconstruction. Local recurrence is common increasing the risk of distant metastasis. Case presentation A 60-year-old male patient was diagnosed with primary sternum chondrosarcoma and underwent surgical excision with negative resection margins. Later, he was found to have two local recurrences at 11 months and 37 months post initial excision. The two recurrences were surgically removed followed by local adjuvant radiation. Conclusion The seeding theories have been reported more frequently with relation to diagnostic biopsy procedures, tumor manipulation and self-seeding tumors. The patient developed two local recurrences despite total resection with negative margins, without concerns regarding seeding in distant metastasis.https://doi.org/10.1186/s13019-023-02213-5ChondrosarcomaSternumLocal recurrenceSeeding
spellingShingle Riad Abdel Jalil
Farah A. Abdallah
Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
Journal of Cardiothoracic Surgery
Chondrosarcoma
Sternum
Local recurrence
Seeding
title Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
title_full Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
title_fullStr Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
title_full_unstemmed Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
title_short Multiple local recurrences of primary sternal chondrosarcoma: tumor manipulation or self-seeding
title_sort multiple local recurrences of primary sternal chondrosarcoma tumor manipulation or self seeding
topic Chondrosarcoma
Sternum
Local recurrence
Seeding
url https://doi.org/10.1186/s13019-023-02213-5
work_keys_str_mv AT riadabdeljalil multiplelocalrecurrencesofprimarysternalchondrosarcomatumormanipulationorselfseeding
AT farahaabdallah multiplelocalrecurrencesofprimarysternalchondrosarcomatumormanipulationorselfseeding