Unusual presentation of a chondrosarcoma as an anterior mediastinal mass

Chest wall chondrosarcomas are a rare cause for an anterior mediastinal mass. Commonly patients present with a painless palpable mass with a third of patients describing diffuse chest pain. We present a patient with an anterior mediastinal chest wall chondrosarcoma presenting with neurological symptoms and flushing. As more of these cases are seen and reported this rare entity is more likely to be considered in the differential diagnosis under appropriate circumstances.