case_images: PMC10601830_01
case_images: a, b Tumor recurrence before re-irradiation. a Clinical photograph showing the recurrent liposarcoma in the right lateral chest wall (arrow). Radiotherapy set-up skin markers are seen on the patient's chest. b Representative axial CT through the lower thorax demonstrating the tumor recurrence at the right lateral chest wall involving the underlying ribs (arrow). c, d Three months after chemotherapy, re-irradiation, and surgical resection. c Photograph showing the post-therapy appearance with slight bulging of the tissue at the site of surgical flap repair but an otherwise very good cosmetic outcome. d Representative axial CT showing resolution of the recurrent right lateral chest wall mass and note the Gore-Tex chest wall implant forming part of the right lateral thoracic cage reconstructions.
case_images: cro-2023-0016-0001-534180_F01.jpg
case_images: PMC10601830_01_cro-2023-0016-0001-534180_F01.jpg
case_images: F1
case_images: Fig. 1a, b). FDG PET CT did not show distant metastasis. Surgery was performed 3 months later and involved wide excision of the recurrence site including resection of five right-sided ribs with Gore-Tex thoracoplasty and a left latissimus dorsi musculocutaneous free flap reconstruction (shown in Fig. 1c, d).