PMC6393690_01
(A) Preoperative image showing the extent of the tumor B) Axial thoracic CT well- showed well-defined mass with peripheral and central calcifications measuring 07 cm x 10 cm x 11 cm. D) Reconstruction of an anterolateral chest wall defect used polypropylene plate and ipsilateral pedicle latissimus dorsi muscle flap.
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A physical exam revealed a large, fixed 10 cm mass occupied the entire right breast (Fig. 1-A). Preoperative unenhanced CT imaging showed well-defined round heterogeneous soft tissue density with hypo dense areas (Fig. 1-B), necrosis and peripheral and central calcifications measuring 07 cm x 10 cm x 11 cm. Reconstruction of the defect was undertaken with polypropylene plate and ipsilateral pedicle latissimus dorsi muscle flap was placed on the alloplastic mesh (Fig. 1-D).
(A-B) front and posterior view of the tumor D) mesenchymal proliferation organized in lobulated architecture with abundant cartilaginous matrix separated by fibrous bands and bony trabeculae bands (HEx100).
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The whole tumor was excised en-bloc along with 4 th, 5th and 6th ribs with a surgical margin of more than 2.0 cm (Fig. 2-A, B). The margins are free of tumor cells (Fig. 2-D).