Chest wall osteosarcoma

Case contributed by Mohammad Taghi Niknejad
Diagnosis certain

Presentation

Palpable mass on the anterior chest wall. History of mediastinal radiotherapy due to Hodgkin lymphoma.

Patient Data

Age: 80 years
Gender: Male
ct

A 55×40 mm destructive mass is noted at the manubrium of the sternum that shows inhomogeneous enhancement on post contrast images. The mass infiltrates adjacent soft tissue structures and bulges into the superior mediastinum.

Case Discussion

Pathology proved sternal osteosarcoma, a relatively rare entity, most often seen in elderly patients, mainly due to previous radiation therapy.

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