Surgical management of a chest wall osteosarcoma with pleural and lung invasion through en-bloc chest resection and complex reconstruction. Case report.

IF 0.9 Q4 ONCOLOGY
Rare Tumors Pub Date : 2024-10-29 eCollection Date: 2024-01-01 DOI:10.1177/20363613241298536
Santiago A Endara, Gerardo A Dávalos, Armando J Serrano, Santiago Muñoz-Palomeque, M Patricia Pontón, Cynthia D López, G Ariel Diaz
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引用次数: 0

Abstract

Osteosarcomas of the ribs are rarely reported but have a high potential for pulmonary metastases. The therapeutic strategies for this disease are not well defined. The primary treatment recommendations include wide resection with clear surgical margins and chest wall reconstruction if needed. We present a case of costal osteosarcoma with pleural and lung extension successfully treated by en-bloc thoracic resection with free surgical margins and chest wall reconstruction with rib titanium bars, polypropylene mesh and a rectus abdominis free flap with microvascular anastomoses. This case demonstrates the importance of this therapeutic strategy and highlights the need of early intervention in managing this disease.

通过全胸切除和复杂重建手术治疗胸壁骨肉瘤并伴有胸膜和肺部侵犯。病例报告。
肋骨骨肉瘤鲜有报道,但极有可能发生肺转移。这种疾病的治疗策略尚不明确。主要的治疗建议包括手术边缘清晰的广泛切除,必要时进行胸壁重建。我们介绍了一例肋骨骨肉瘤伴胸膜和肺部扩展的病例,该病例通过游离手术切缘的全胸廓切除术以及肋骨钛条、聚丙烯网片和带微血管吻合的腹直肌游离皮瓣的胸壁重建术成功治愈。该病例证明了这种治疗策略的重要性,并强调了早期干预治疗这种疾病的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rare Tumors
Rare Tumors ONCOLOGY-
CiteScore
1.50
自引率
0.00%
发文量
15
审稿时长
15 weeks
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