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Friday, 19 May 2023

CASE 682: RIB CHONDROSARCOMA, Dr PHAN THANH HAI, Dr HO CHI TRUNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM.


A 56 male patient with right shoulder pain for a half of month.

Chest X-Ray and ultrasound show a #3.1x2.5 cm right posterior legion of  the 7th rib  with hypoechoic pattern, neovascular signals and moderate hard code on elastography ultrasound.



 


CT confirms and  suspects malignancy to the # 3.5 cm diameter of rib lesion with erosions of upper border of the 7 th rib which is strongly capturing CE.


Surgery removes the tumor and the histopathologic report is a mesenchymal chondrosarcoma.


It is a rare entity of cancer of  low metastase cartilage in middle aged patient.

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