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Chondrosarcoma of the spine

Case contributed by Sebastian Tschauner
Diagnosis almost certain

Presentation

Palpable, slowly growing abdominal mass and shortness of breath.

Patient Data

Age: 65 years old
Gender: Female

Chest radiographs

x-ray

Elevation of the hemidiaphragm and pleural effusion is noted on the left side. Relatively few gas is seen in the abdomen. There are large calcifications in the left lower abdominal quadrant. 

Abdomen

ct

A huge mixed hypodense mass is seen within the abdomen, preferably on the left side. There are large calcifications with a chondroid pattern associated with this mass. The left kidney can not bet seen anymore, other abdominal organs are displaced.

Moderate amounts of free intraperitoneal fluid.

Case Discussion

This case shows a massive histologically verified chondrosarcoma, occupying large parts of the abdomen and arising from the thoracolumbar spine on the left side.

Tumor resection was attempted but could not be performed in toto.

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