Bone and soft tissue sarcomas, tumors of the skinBone and soft tissue sarcomas, tumors of the skinСаркомы костей, мягких тканей и опухоли кожи2219-46142782-3687Publishing House ABV Press75910.17650/2219-4614-2025-17-3-11-25EDITORIALОТ РЕДАКЦИИSecondary chondrosarcomas in the background of osteocartilaginous exostoses of the sternoclavicular joint (literature review and clinical observations)Вторичные хондросаркомы на фоне костно-хрящевых экзостозов грудино-ключичного сочленения (обзор литературы и клинические наблюдения)https://orcid.org/0000-0002-8063-8797TeplyakovV. V.ТепляковВ. В.
Russian Federation

 Teplyakov Valery V., MD, PhD, Professor, Head of the Department of Surgical Methods of Treatment and Antitumor Drug Therapy of Tumors of Bones, Soft Tissues and Skin

86  Profsoyuznaya  St.,  Moscow  117997

 Тепляков Валерий Вячеславович, д.м.н., профессор, заведующий отделением хирургических методов лечения  и противоопухолевой лекарственной терапии опухолей костей, мягких тканей и кожи  

117997 Москва, ул. Профсоюзная, 86

https://orcid.org/0000-0001-8778-3340DobrosotskyS. V.ДобросоцкийС. В.
Russian Federation

Svyatoslav Vyacheslavovich Dobrosotsky

86  Profsoyuznaya  St.,  Moscow  117997

Святослав Вячеславович Добросоцкий 

117997 Москва, ул. Профсоюзная, 86

svyatoslav.dobrosotscky@yandex.ruBliznyukovO. P.БлизнюковО. П.
Russian Federation

 Bliznyukov Oleg P., MD, PhD, Pathologist, Head of the Pathology Department 

86  Profsoyuznaya  St.,  Moscow  117997

 Близнюков Олег Петрович - д.м.н., врач-патологоанатом, заведующий патологоанатомическим отделением 

117997 Москва, ул. Профсоюзная, 86

https://orcid.org/0000-0003-1242-5324KuznecovA.  M. КузнецовА. М.
Russian Federation

4  Startovaya  St., Moscow  129336

А.М. Кузнецов

129336  Москва,  ул. Стартовая, 4

Russian  Scientific  Center  of  Roentgenoradiology,  Ministry  of Health  of  RussiaФГБУ  «Российский  научный  центр  рентгенорадиологии»  Минздрава  РоссииRussian Scientific Center of Roentgenoradiology, Ministry of Health of RussiaФГБУ  «Российский  научный  центр  рентгенорадиологии»  Минздрава  РоссииHospital  for  war  Veterans  No. 3,  Moscow  Healthcare DepartmentГБУЗ  г. Москвы  «Госпиталь  для  ветеранов  войн  № 3  Департамента  здравоохранения  г. Москвы»1410202517311251310202513102025Copyright ©; 2025, Teplyakov V.V., Dobrosotsky S.V., Bliznyukov O.P., Kuznecov A.M.Copyright ©; 2025, Тепляков В.В., Добросоцкий С.В., Близнюков О.П., Кузнецов А.М.2025Teplyakov V.V., Dobrosotsky S.V., Bliznyukov O.P., Kuznecov A.M.Тепляков В.В., Добросоцкий С.В., Близнюков О.П., Кузнецов А.М.https://creativecommons.org/licenses/by/4.0https://sarbon.abvpress.ru/jour/article/view/759

Primary malignant tumors of the chest wall account for less than 1 % of all neoplasms, with chondrosarcoma constituting 20 % of these. Secondary chondrosarcomas developing against the background of pre-existing enchondromas or osteochondromas (both solitary and multiple, as seen in Ollier’s disease or Maffucci syndrome) are even rarer. The slow growth of such neoplasms often leads to late diagnosis, and the complex anatomy of the localization poses challenges for specialists, requiring thorough preparation and coordinated work of a multidisciplinary team. The available literature contains limited reports on the surgical treatment of chondrosarcoma of the sternoclavicular joint, the I–II ribs, and/or the sternum, with few observations documented.

 This article presents a literature review dedicated to this issue, as well as two rare clinical cases of patients  with chondrosarcoma of the upper thoracic aperture, which are of interest to oncologic orthopedists, thoracic  and vascular surgeons, as well as diagnosticians.

Первичные злокачественные опухоли грудной стенки составляют менее 1 % всех новообразований, хондросаркомы – 20 %. Еще реже встречаются вторичные хондросаркомы, развивающиеся на фоне предсуществующих энхондром или костно-хрящевых экзостозов (как единичных, так и множественных, наблюдаемых при болезни Олье и синдроме Маффуччи). Медленный рост таких опухолей нередко приводит к их поздней диагностике, а сложная локализация бросает вызов специалистам, требуя тщательной подготовки и слаженной работы мультидисциплинарной команды. В литературе описано немного случаев хирургического лечения хондросарком грудино-ключичного сочленения, I–II ребер и/или грудины.

В статье представлен обзор литературы, посвященный этой проблеме, а также приведены 2 редких, по нашему мнению, клинических наблюдения хондросаркомы верхней апертуры грудной клетки, представляющих интерес как для онкоортопедов, торакальных и сосудистых хирургов, так и для диагностов.

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