En-bloc resection of large anterior chest wall chondrosarcoma with myocutaneous flap closure

Primary chondrosarcoma of the chest wall is uncommon but spreads aggressively. The primary treatment is radical excision because it is comparatively resistant to chemotherapy and radiation. When such massive tumors are removed with safety margins, a significant chest wall defect remains, necessitating reconstruction. Reconstruction has involved the use of materials such as titanium plates, polypropylene mesh with methyl methacrylate, sternal steel wires, etc. Chest wall reconstruction with muscle flaps alone after en-bloc resection of chondrosarcoma with extensive mediastinal and thoracic involvement is rarely performed, nowadays. We report a case of massive chondrosarcoma resected en-bloc with a bilateral pectoralis major myocutaneous flap reconstruction.