Treatment of a patient with sarcoma of sternum, ribs and invasion into pericard and pleura
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
How to Cite
Copyright (c) 2015 Kudrjavtsev A.S., Zheravin A.A., Anikeyeva O.Yu., Polovnikov E.S., Jarmoshchuk S.V., Drobiazgin E.A.

This work is licensed under a Creative Commons Attribution 4.0 International License.
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.
References
- Зацепин С.Т. Опухоли грудины. Оперативное лечение и восстановление каркасности грудной клетки // Международный медицинский журнал. 2003. № 1. С. 99–103.
- Ashford R.U., Stanton J., Khan F., Pringle J.A., Cannon S.R., Briggs T.W. Surgical treatment of chondrosarcoma of the sternum // Sarcoma. 2001. Vol. 5. Р. 209–213.
- Smith S.E., Keshavjee S. Primary chest wall tumors // Thorac. Surg. Clin. 2010. Vol. 20 (4). Р. 495–507.
- Koto K., Sakabe T., Horie N., Ryu K., Murata H., Nakamura S., Ishida T., Konishi E., Kubo T. Chondrosarcoma from the sternum: reconstruction with titanium mesh and a transverse rectus abdominis myocutaneous flap after subtotal sternal excision // Med. Sci. Monit. 2012. Vol. 18 (10). Р. 77–81.
- Granero-Molto F., Weis J.A., Longobardi L., Spagnoli A. Role of mesenchymal stem cells in regenerative medicine: application to bone and cartilage repair // Expert. Opin. Biol. Ther. 2008. Vol. 8. Р. 255–268.
- Караськов А.М., Аникеева О.Ю., Опен А.Б., Пашковская О.А. Выбор тактики лечения при конкурирующей патологии рака легкого и аортального клапана // Патология кровообращения и кардиохирургия. 2013. № 4. С. 51–53.
- Федоров В.Д., Адамян А.А. Восстановительные операции после обширных резекций передней брюшной и грудной стенки по поводу опухолей // Хирургия. Журнал им. Н.И. Пирогова. 2005. № 8. С. 10–15.
- Chapelier A.R., Missana M.C., Couturaud B. Sternal resection and reconstruction for primary malignant tumors // Ann. Thorac. Surg. 2004. Vol. 77. Р. 1001–1006.
- Marulli G., Hamad A.M., Cogliati E., Breda C., Zuin A., Rea F. Allograft sternochondral replacement after resection of large sternal chondrosarcoma // J. Thorac. Cardiovasc. Surg. 2010. Vol. 139. Р. 69–70.
- Sharma R.K., Mehrotra S., Dhaliwal R.S. Extended deep inferior epigastric artery flaps’ for reconstruction after excision of chondrosarcoma sternum // Br. J. Plast. Surg. 2005. Vol. 58. Р. 1004–1006.