Sternal resection and chest wall reconstruction for primitive neuroectodermal tumor of the sternum

H. Oishi, Y. Matsumura, I. Ishida, T. Sado, Y. Hoshikawa, T. Kondo, M. Tachi

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Abstract

Primitive neuroectodermal tumor of the sternum is rare. A 59-year-old woman referred to our department with anterior chest pain and a tumor in the sternum. The patient was diagnosed as primitive neuroectodermal tumor of the sternum by core biopsy of the lesion. She received 2 cycles of preoperative chemotherapy with vincristine, doxorubicin, cyclophosphamide, ifosfamide, etoposide. She underwent a total sternectomy with resection of adjacent bilateral costal cartilages and sternal ends of the clavicles. The skeletal defect of chest wall was reconstructed by polypropylene mesh-resin sandwich. The myocutaneus defect was reconstructed by the pedicled latissimus dorsi myocutaneus flap and the bilateral breast flaps. The postoperative course was uneventful and adjuvant radiotherapy was started 6 weeks after the operation. She died of distant metastases 3 months after the operation, although this patient was free from local recurrence.

Original languageEnglish
Pages (from-to)836-840
Number of pages5
JournalKyobu geka. The Japanese journal of thoracic surgery
Volume61
Issue number10
Publication statusPublished - 01-01-2008
Externally publishedYes

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All Science Journal Classification (ASJC) codes

  • Medicine(all)

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