case_images: PMC9116248_01
case_images: Pre-operative photographs of the patient.
case_images: ICRP_A_2064290_F0001_C.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0001_C.jpg
case_images: F0001
case_images: An 18-year-old boy was evacuated from his home country (Guinea-Bissau) to Portugal because of a giant midline thoracic mass, that had been slowly growing for the last 9 years (Figure 1).
case_images: Preoperative CT scans.
case_images: ICRP_A_2064290_F0002_B.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0002_B.jpg
case_images: F0002
case_images: A CT scan was made which identified a 17 x 17 x 12 cm heterogeneous mass with signs of disperse calcification, arising from the body of the sternum (Figure 2).
case_images: Tumor after resection. Notice the base of the tumor to be slightly smaller than the superficial component.
case_images: ICRP_A_2064290_F0003_C.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0003_C.jpg
case_images: F0003
case_images: After surgical excision, a pericardial mesh was used to reconstruct the pericardium and the sternum prosthesis fixed to the remaining ribs (Figures 3 and 4).
case_images: Intraoperative views after tumor removal (left) and after sternal reconstruction with a StarPore  custom-made prostheses.
case_images: ICRP_A_2064290_F0004_C.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0004_C.jpg
case_images: F0004
case_images: After surgical excision, a pericardial mesh was used to reconstruct the pericardium and the sternum prosthesis fixed to the remaining ribs (Figures 3 and 4).
case_images: Intraoperative view with LD muscular free flap (left) and skin graft (right).
case_images: ICRP_A_2064290_F0005_C.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0005_C.jpg
case_images: F0005
case_images: The flap was inset to protect the entire thoracic prosthesis and the anastomosis made to the right internal mammary vessels (Figure 5). A partial thickness graft was used to cover the muscle (Figure 5).
case_images: Post-operative at 6 months.
case_images: ICRP_A_2064290_F0006_C.jpg
case_images: PMC9116248_01_ICRP_A_2064290_F0006_C.jpg
case_images: F0006