Case report
Primary Giant Clear Cell Sarcoma (Soft Tissue Malignant Melanoma) of the Sternum

https://doi.org/10.1016/j.athoracsur.2008.10.077Get rights and content

One case of a primary clear cell sarcoma of the sternum (also called soft tissue melanoma) is reported. This neoplasm represents a rare occurrence, and as a rule, differential diagnosis with melanoma often requires detailed immunohistochemistry and cytogenetic analysis (ie, rearrangement of EWS gene localized on 22q12 chromosome). Because wide resection is recommended, chest wall reconstruction may pose challenging technical issues. In our patient, we elected not to proceed to clavicular stabilization. Nevertheless, acceptable shoulder girdle mobility was observed after surgery.

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Comment

One controversial technical issue may reside in the need for stabilizing the anterior chest wall when both sternoclavicular joints and medial clavicles are removed. In our case, we were able to preserve an acceptable shoulder girdle stability without clavicular stabilization [6]. In conclusion, radical resection of clear-cell sarcomas of the chest wall seems to yield prolonged survival, whereas given the rarity of the condition, the value of concurrent treatments, either in the neoadjuvant or

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