PMC4276080_01
Comparison of chest radiographs of patient in 2006 (left) and 2013 (right).
gr1.jpg
PMC4276080_01_gr1.jpg
fig0005
There was a marked increase in size compared to the chest radiograph seven years ago (Fig. 1).
Comparison of computed tomography of thorax of patient in 2006 (left) and 2013 (right), coronal cuts (above), axial cuts (below).
gr2.jpg
PMC4276080_01_gr2.jpg
fig0010
Computed tomography scan of the thorax revealed an extra-pulmonary soft tissue mass, measuring 4.2 cm x 3.8 cm, arising from anterior 3rd rib with some bony densities and specks of calcification, which was highly suggestive of a malignant lesion with invasion of the right chest wall (Figs. 2 and 3).
Lung window axial cut of computed tomography of thorax 2013.
gr3.jpg
PMC4276080_01_gr3.jpg
fig0015
Computed tomography scan of the thorax revealed an extra-pulmonary soft tissue mass, measuring 4.2 cm x 3.8 cm, arising from anterior 3rd rib with some bony densities and specks of calcification, which was highly suggestive of a malignant lesion with invasion of the right chest wall (Figs. 2 and 3).
Gross image of resected chondrosarcoma (showing lesion posteriorly).
gr4.jpg
PMC4276080_01_gr4.jpg
fig0020
Intra-operatively, a 3 cm x 3 cm tumour arising from the anterior aspect of the 4th rib was found which was removed en bloc including part of the 3rd to 5th ribs using diathermy and rib cutter with adequate margins of 3-4 cm (Fig. 4).
Histopathological findings of chondrosarcoma with soft tissue invasion.
gr5.jpg
PMC4276080_01_gr5.jpg
fig0025
Histologically, the mass was chondroid in nature, compatible with that of the diagnosis of grade 1-2 chondrosarcoma by the pathologist (Figs. 5 and 6).
Histopathological findings of chondrosarcoma medium with grade 1-2 cytological features.
gr6.jpg
PMC4276080_01_gr6.jpg
fig0030
Histologically, the mass was chondroid in nature, compatible with that of the diagnosis of grade 1-2 chondrosarcoma by the pathologist (Figs. 5 and 6).