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タイトル: | Preserving the posterior cortex of the sternum during resection of a superficial anterior chest wall sarcoma |
著者: | Sakamoto, Akio Tsuge, Itaru Noguchi, Takashi Matsuda, Shuichi |
著者名の別形: | 坂本, 昭夫 津下, 到 野口, 貴志 松田, 秀一 |
キーワード: | surgical procedures, minimally invasive internal thoracic artery abnormal respiratory function carcinoma fluoroscopy muscle rigidity reconstructive surgical procedures ribs sarcoma sternum lymph nodes neoplasms chest wall transpositional flap neoplasm of sternum resection of sternum self-mutilation by cutting anterior chest wall |
発行日: | Oct-2021 |
出版者: | Oxford University Press (OUP) |
誌名: | Journal of Surgical Case Reports |
巻: | 2021 |
号: | 10 |
論文番号: | rjab450 |
抄録: | Following resection of a sternal tumor, respiratory dysfunction can occur and rigid reconstruction is necessary. An 82-year-old woman noted a mass in the anterior chest wall that was increasing in size. The tumor was located on the left aspect of the sternum at the level of the third rib. A radiation-induced malignant spindle cell tumor was diagnosed because of a history of irradiation for hilar lymph node carcinoma. The tumor was resected with the surrounding tissues of the second-to-fourth ribs and sternum. The posterior sternal cortex was preserved by cutting with a curved chisel under fluoroscopy. The chest wall defect was reconstructed with a 2-mm thick Gore-Tex® sheet and a local transpositional flap. Sternal resection with a chisel under fluoroscopy avoids damage to the internal thoracic artery. Preserving the posterior sternal cortex does not require rigid reconstruction. The procedure is minimally invasive. |
著作権等: | Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
URI: | http://hdl.handle.net/2433/277695 |
DOI(出版社版): | 10.1093/jscr/rjab450 |
PubMed ID: | 34729167 |
出現コレクション: | 学術雑誌掲載論文等 |
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