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Huge myxoid chondrosarcoma expanded into the thoracic cavity with spinal involvement.

PURPOSE: En bloc resection is the treatment of choice of myxoid chondrosarcoma. These tumors can produce huge masses. Anatomical constraints limit the possibility to perform en bloc resection in the spine.

METHODS: A very huge myxoid chondrosarcoma (14.2 × 10.8 × 11.4 cm) arising from T2 to T5 and invading the whole higher left pleural cavity was observed. Surgical planning according to WBB staging system was performed.

RESULTS: The tumor was successfully submitted to en bloc resection achieving a tumor-free margin as demonstrated by the pathologist's report.

CONCLUSIONS: A careful planning and a multidisciplinary collaboration make possible to perform en bloc resection even in apparently impossible cases.

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