Primary Giant Clear Cell Sarcoma (Soft Tissue Malignant Melanoma) of the Sternum Gaetano Rocco, MD, FRCS(Ed), Anna Rosaria de Chiara, MD, Flavio Fazioli,

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Primary Giant Clear Cell Sarcoma (Soft Tissue Malignant Melanoma) of the Sternum Gaetano Rocco, MD, FRCS(Ed), Anna Rosaria de Chiara, MD, Flavio Fazioli, MD, Francesco Scognamiglio, MD, Antonello La Rocca, MD, Gaetano Apice, MD, Carla Riva, PhD The Annals of Thoracic Surgery Volume 87, Issue 6, Pages 1927-1928 (June 2009) DOI: 10.1016/j.athoracsur.2008.10.077 Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Patient's preoperative view and computed tomographic scan demonstrating the large sternal mass. The Annals of Thoracic Surgery 2009 87, 1927-1928DOI: (10.1016/j.athoracsur.2008.10.077) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Intraoperative view showing (a) the sternal mass elevated (left = head of the patient); (b) reconstruction of the chest wall defect with methylmethacrylate. The Annals of Thoracic Surgery 2009 87, 1927-1928DOI: (10.1016/j.athoracsur.2008.10.077) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 (a) Pathology specimen; (b) Hematoxylin & eosin stain showing nests of polygonal neoplastic cells with clear cytoplasm (in the center) and more elongated neoplastic cells with eosinophilic cytoplasm (on the left), surrounded by residual bone (×20). The Annals of Thoracic Surgery 2009 87, 1927-1928DOI: (10.1016/j.athoracsur.2008.10.077) Copyright © 2009 The Society of Thoracic Surgeons Terms and Conditions