Narindra Njarasoa Mihaja Razafimanjato1, Tsiry Dama Ntsoa Ravelomihary2, Mampionona Ranaivomanana3, Guillaume Odilon Tsiambanizafy1, Hanitrala Jean Louis Rakotovao1, Francis Allen Hunald1
1DEPARTMENT OF SURGERY, THORACIC SURGERY UNIT, JOSEPH RAVOAHANGY ANDRIANAVALONA HOSPITAL, FACULTY OF MEDICINE, UNIVERSITY OF ANTANANARIVO, MADAGASCAR
2DEPARTMENT OF ONCOLOGY, FACULTY OF MEDICINE, UNIVERSITY OF FIANARANTSOA, MADAGASCAR
3DEPARTMENT OF SURGERY, PAEDIATRIC SURGERY UNIT, FACULTY OF MEDICINE, UNIVERSITY OF ANTANANARIVO, MADAGASCAR
Abstract
Alveolar rhabdomyosarcomas (ARMS) are rare entities that occur predominantly on the extremities and represent 20% of rhabdomyosarcomas. Other common locations include the peri-rectal and perineal regions, head and neck, and genitourinary system. To our knowledge, this presentation is the first case of alveolar rhabdomyosarcoma of the chest wall reported in the literature. Here, we describe a case of a 64-year-old man with alveolar rhabdomyosarcomas who underwent a chest wall resection. The defect was reconstructed with polypropylene mesh and latissimus dorsi muscle. Our patient did not show recurrence ten months after complete resection. The present paper describes our surgical approach to a case of primary alveolar rhabdomyosarcoma of the chest wall in an adult. The authors discuss the principal judgment criteria for successful surgical resection and prognosis, highlighting the relevance of chest wall reconstruction and their complementary aspects in the multimodal management of this rare entity.
