PMC3097699_01
Chest radiograph showing a large pleural-based mass in the left hemithorax (arrows), with underlying rib destruction and a pleural effusion.
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F1
A chest radiograph showed a large pleural mass in the left hemithorax, with rib destruction and a pleural effusion but no significant shift of midline structures (Figure 1).
A contrast enhanced CT examination of the chest showing a large heterogenously enhancing solid mass arising from the skeletal chest wall with lytic destruction of the rib and calcifications (arrows). There is a moderate-sized pleural effusion (block arrow) and underlying lung collapse and consolidation (star).
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F2
There were no lung nodules in the right lung to suggest metastases (Figure 2).
(a) Gross appearance of the resected chest wall and the tumour (b) Appearance of the surgical site after resection of the tumour showing the titanium mesh covering the chest wall defect.
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F3
A left thoracoplasty and reconstruction of the affected chest wall defect using a titanium mesh was done (Figure 3).
CT examination of the chest post-chemotherapy and chest wall surgery showing deformity of the left chest wall at site of extensive rib resection. The titanium mesh is seen in situ (arrows). There is no evidence of tumour recurrence.
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F4
A CT examination done 3 months later showed deformity of the left chest wall and the titanium mesh in situ (Figure 4).