Abstract
Chondrosarcomas are the most frequently occurring primary malignant chest wall tumors. Furthermore, the lungs serve as the most frequent sites for metastases. Pulmonary metastases from sarcomas usually appear as round nodules of varying sizes on roentgenograms. Here, we report an unusual clinical and radiographic presentation of pulmonary metastasis from a costal chondrosarcoma. Bilateral pulmonary metastases developed soon after wide surgical resection. Thoracic computed tomography revealed unusual radiological findings: consolidation accompanied with ground-glass opacity. To confirm the metastasis, we recommend a transbronchial biopsy in cases where unusual pulmonary findings are detected.
Highlights
Chondrosarcomas are the second most frequent primary malignant bone tumors, after osteosarcomas [1,2]
Since radiotherapy and chemotherapy are generally ineffective against chondrosarcomas, surgery is the only curative treatment, and the quality of the surgery is an essential prognostic factor [2]
Chondrosarcomas are classified on the basis of their aggressiveness into 3 grades according to their cellular density, degree of anisokaryosis, and nuclear hyperchromatism [6]
Summary
Case of an unusual clinical and radiological presentation of pulmonary metastasis from a costal chondrosarcoma after wide surgical resection: A transbronchial biopsy is recommended. Emori et al World Journal of Surgical Oncology 2011, 9:50 http://www.wjso.com/content/9/1/50
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