Vol. 19 No. 2 (2015)
CASE REPORTS

Treatment of a patient with sarcoma of sternum, ribs and invasion into pericard and pleura

A. Kudrjavtsev
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaya Str., 630055, Novosibirsk, Russian Federation
Bio
A. Zheravin
Tomsk Саnсеr Rеsеаrсh Institute, 5 Kooperativnyi Per., 634050, Tomsk, Russian Federation
Bio
O. Anikeyeva
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaya Str., 630055, Novosibirsk, Russian Federation
Bio
E. Polovnikov
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaya Str., 630055, Novosibirsk, Russian Federation
Bio
S. Jarmoshchuk
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaya Str., 630055, Novosibirsk, Russian Federation
Bio
E. Drobiazgin
Academician Ye. Meshalkin Novosibirsk Research Institute of Circulation Pathology, 15 Rechkunovskaya Str., 630055, Novosibirsk, Russian Federation; Novosibirsk State Medical University, 52 Krasniy Prospect, 630091, Novosibirsk, Russian Federation
Bio

Published 2015-07-17

Keywords

  • tumor of the sternum,
  • sarcoma of the sternum,
  • ribs,
  • thoracic oncology,
  • chondrosarcoma,
  • resection of sternum,
  • resection of ripper,
  • reconstruction of thorax
  • ...More
    Less

How to Cite

Kudrjavtsev, A., Zheravin, A., Anikeyeva, O., Polovnikov, E., Jarmoshchuk, S., & Drobiazgin, E. (2015). Treatment of a patient with sarcoma of sternum, ribs and invasion into pericard and pleura. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 19(2), 124–129. https://doi.org/10.21688/1681-3472-2015-2-124-129

Abstract

A case of treating a 54-year-old patient with sarcoma of the sternum and ribs which was also invaded into the pericardium and mediastinal pleura is presented. Earlier, the patient had been operated for tumor at a municipal hospital. CT scan of the chest revealed a tumor of the sternum and ribs that was also invaded into the pericardium and, possibly, into the heart. Intraoperatively, it was found out that malignancy invaded the pericardium and mediastinal pleura leaflets, with the heart being intact. The tumor was removed, with resection of the pericardium and mediastinal pleura, by grafting the pericardium and anterior chest wall with nikelid-titanium plates and grafting latissimus dorsi muscle on both sides (musculocutaneous flap on the left). The early postoperative period was uneventful. During long-term follow-up no tumor recurrence was observed.

Received 30 December 2014. Accepted 14 May 2015.

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