AbstractPrimary malignant tumors of the sternum are rare, and are difficult to treat due to the anatomical proximity of the mediastinal vascular structures and the limited surgical margins that can be achieved. The wall reconstruction is the most difficult part of the management. Many techniques have been described, ranging from musculo-cutaneous flaps to increasingly sophisticated prostheses. The authors report a case of a primary sternal tumor and the problem posed during wall reconstruction in a context of limited resources.
Michael JL, Willard AF. Malignant bone tumors of the chestwall. Semin Thorac Cardiovasc Surg 1999;11: 278-84.
Sanna S, Brandolini J, Pardolesi A, et al. Materials and techniques in chestwall reconstruction: a review. J Vis Surg 2017; 3:95.
Skoracki RJ, Chang DW. Reconstruction of the Chestwall and Thorax. J Surg Oncol 2006;94:455-65.
Ferrora P, Cugno S, Liberman M, et al. Principles of Chest Wall Resction and Reconstruction. Thorac Surg Clin 2010 ; 20 : 465-73.
Harlan BJ, Starr A, Harwin FM. Manual of cardiac surgery. 2d Edition. Paris : Springer Verlag ; 1994.
Briccoli A, Giacomini S, Rocca M, et al. osteosarcoma of the sternum: two case reports. Tumori 2002;88:160-2.
Masab M, Arora E, Gupta S, et al. Metastatic Sternal Osteosarcoma: A Rare Tumor. Cureus 2018 ; 10(2): e2206.
Rad PM, Masoum SHF, Layegh P, et al. Primary Osteosarcoma of the Sternum: A case Report and Review of the Literature. Arch Bone J Surg 2014; 2(4):272-5.
Chawla RK, Madan A, Madoiya R, et al. Potatoswelling of sternum. Lung India 2013; 30(3):219-21.
Burt M. Primary malignant tumors of the chestwall: the Memorial Sloan-Kettering Cancer Center experience. Chest Surg Clin N Am 1994; 4: 137-54.
Ilaslan H, Schils J, Lietman SA, et al. Clinical presentation and imaging of bone and soft-tissue sarcomas. Eveland clinic Journal of medicine 2010;77(1):2-7.
Campanacci M, Mercuri M, Gasbarrini A, et al. The value of imaging in the diagnosis and treatment of bone tumors. European Journal of Radiology 1998; 27:116-22.
Koppert LB, van Geel AN, Lans TE, et al. Sternal Resection for Sarcoma, Recurrent Breast Cancer, and Radiation-Induced Necrosis. Ann Thorac Surg 2010;90:1102-9.
Ren P, Zhang J, Zhang X. Resection of Primary Sternal Osteosarcoma and Reconstruction With Homologous Iliac Bone: Case Report. J Formos Med Assoc 2010;109 (4):309-14.
Lequaglie C, Massone PB, Giudice G et al. Gold standard for sternectomies and plastic reconstructions after resections for primary or secondary sternal neoplasms. Ann Surg Oncol 2002;9:472-9.
Martini N, Huvos AG, Burt ME, et al. Predictors of survival in malignanttumors of the sternum. J Thorac Cardiovasc Surg 1996;111:96-106.
Koto K, Sakabe T, Horie N et al. Chondrosarcoma from the sternum: Reconstruction with titanium mesh and a transverse rectus abdominis myocutaneous flap after subtotal sternal excision. Med Sci Monit 2012; 18(10): CS77-81.
Seder CW, Rocco G. Chestwall reconstruction after extended resection. J Thorac Dis 2016; 8:S863-S871.
Tukiainen E, Popov P, Asko-Seljavaara S. Microvascular reconstructions of full-thickness oncological chestwall defects. Ann Surg 2003; 238:794-801.
Horio H, Ohtsuka T, Kubota Y et al. Large chestwall reconstruction using titanium micromesh and a pedicled latissimus dorsi musculocutaneous flap: report of a case. Surg Today 2005; 35: 73-5.
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