scholarly journals A Case of “en bloc” Excision of a Chest Wall Leiomyosarcoma and Closure of the Defect with Non-Cross-Linked Collagen Matrix (Egis®)

2016 ◽  
Vol 9 (3) ◽  
pp. 655-660 ◽  
Author(s):  
Marco Rastrelli ◽  
Saveria Tropea ◽  
Romina Spina ◽  
Alessandra Costa ◽  
Roberto Stramare ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Tissue Regeneration ◽  
Soft Tissue Sarcomas ◽  
Surgical Excision ◽  
Smooth Muscle Tumor ◽  
Chest Wall Resection ◽  
En Bloc ◽  
Dermal Matrix ◽  
Treatment Protocols

Sarcomas arising from the chest wall account for less than 20% of all soft tissue sarcomas, and at this site, primitive tumors are the most frequent to occur. Leiomyosarcoma is a malignant smooth muscle tumor and the best outcomes are achieved with wide surgical excision. Although advancements have been made in treatment protocols, leiomyosarcoma remains one of the more difficult soft tissue sarcoma to treat. Currently, general local control is obtained with surgical treatment with wide negative margins. We describe the case of a 50-year-old man who underwent a chest wall resection involving a wide portion of the pectoralis major and minor muscle, the serratus and part of the second, third and fourth ribs of the left side. The full-thickness chest wall defect of 10 × 8 cm was closed using a non-cross-linked acellular dermal matrix (Egis®) placed in two layers, beneath the rib plane and over it. A successful repair was achieved with no incisional herniation and with complete tissue regeneration, allowing natural respiratory movements. No complications were observed in the postoperative course. Biological non-cross-linked matrix, derived from porcine dermis, behaves like a scaffold supporting tissue regeneration; it can be successfully used as an alternative to synthetic mesh for chest wall reconstruction.

Chest Wall Tumors

1998 ◽  
Vol 6 (3) ◽  
pp. 212-215 ◽  
Author(s):  
B Ali Özuslu ◽  
Onur Genç ◽  
Sedat Gürkök ◽  
Kunter Balkanli
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Distant Metastases ◽  
Metastatic Tumor ◽  
Prosthetic Material ◽  
Benign Tumors ◽  
Chest Wall Resection ◽  
En Bloc ◽  
Reconstructive Procedures ◽  
Chest Wall Tumors

We reviewed 94 consecutive patients who underwent resection of soft tissue or bone tumors of the chest wall between September 1989 and December 1996. There were 3 females and 91 males ranging in age from 12 to 69 years (median, 22.85 years); 16 had a primary malignant tumor, 11 had a metastatic tumor, and 67 had a benign tumor. Sixty-four patients underwent resection of the chest wall skeleton. Overlying soft tissue was resected en bloc in 15 patients. Chest wall defects were not reconstructed with prosthetic material or autogenous grafts because the defects were not large. Soft tissue reconstructive procedures were predominantly muscle transposition. There were no early postoperative complications and the median hospitalization was 14.2 days (range, 6 to 47 days). Follow-up was complete in all patients and ranged from 2 to 36 months (median, 24.5 months). All patients with benign tumors are currently alive. Recurrent chest wall tumors developed in 5 patients and they underwent a second operation. Nine patients died from distant metastases. There were no early or late deaths related to either resection or reconstruction of the chest wall. We conclude that wide or adequate chest wall resection, depending on histopathologic type of tumor, is the key to successful management of chest wall tumors. In general, this procedure can be performed in one operation with a short hospital stay and low operative mortality.

scholarly journals Chest Wall Resection for Adult Soft Tissue Sarcomas and Chondrosarcomas: Analysis of Prognostic Factors

2010 ◽  
Vol 35 (1) ◽  
pp. 63-69 ◽  
Author(s):  
Albertus N. van Geel ◽  
Michel W. J. M. Wouters ◽  
Titia E. Lans ◽  
Paul I. M. Schmitz ◽  
Cornelis Verhoef
Keyword(s):  
Prognostic Factors ◽  
Soft Tissue ◽  
Chest Wall ◽  
Soft Tissue Sarcomas ◽  
Chest Wall Resection

En-bloc resection of soft-tissue sarcoma of anterior chest wall and reconstruction with titanium bars and free anterolateral thigh flap

2021 ◽  
Vol 14 (7) ◽  
pp. e241603
Author(s):  
Walter Sebastián Nardi ◽  
Agustin Buero ◽  
Leonardo Pankl ◽  
Sergio Damián Quildrian
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Soft Tissue Sarcomas ◽  
En Bloc Resection ◽  
Anterior Chest Wall ◽  
Bloc Resection ◽  
Anterolateral Thigh Flap ◽  
En Bloc ◽  
Complete Surgical Resection ◽  
Anterolateral Thigh

Primary soft-tissue sarcomas (STSs) of the chest wall are uncommon. Complete surgical resection remains the mainstay of treatment being sternal resection ocassionally required. We present a 25-year-old man with an anterior chest wall STS. The patient underwent complete oncological resection with reconstruction using titanium bars combined with a free vascularised anterolateral thigh flap. STSs of the chest wall are very rare and they comprise a surgical challenge for both resection and reconstruction.

En Bloc Chest Wall Resection for Candidal Costochondritis in a Drug Addict

1981 ◽  
Vol 31 (2) ◽  
pp. 182-187 ◽  
Author(s):  
Simon Yap ◽  
Mark M. Ravitch ◽  
Kenneth I. Pataki
Keyword(s):  
Chest Wall ◽  
Drug Addict ◽  
Chest Wall Resection ◽  
En Bloc

Open en bloc chest wall resection including three ribs and the right lower lobe for T3 lung cancer

ASVIDE ◽  
2020 ◽  
Vol 7 ◽  
pp. 24-24
Author(s):  
Dany Balke ◽  
Varun Gupta ◽  
Stefan Welter
Keyword(s):  
Lung Cancer ◽  
Chest Wall ◽  
Lower Lobe ◽  
Chest Wall Resection ◽  
En Bloc ◽  
The Right

Sarcomas of soft tissue and bone

2019 ◽  
pp. 454-467
Author(s):  
James Wylie
Keyword(s):  
Soft Tissue ◽  
Chest Wall ◽  
Palliative Treatment ◽  
Soft Tissue Sarcomas ◽  
Dose Fractionation ◽  
Target Definition ◽  
Patient Preparation ◽  
Radiotherapy Techniques ◽  
Hands And Feet

Chapter 20 covers sarcomas of soft tissue and bone and includes discussion of radiotherapy for soft tissue sarcomas (including indications for radiotherapy, essential investigations for planning radiotherapy, patient preparation, planning imaging required for target definition, target definition, dose fractionation, and critical organs and tolerance doses,including the sites forearm, hands and feet, retroperitoneum, chest wall, and spinal/para-spinal), particular histologies (angiosarcoma and fibromatosis), particular radiotherapy techniques, and palliative treatment (including cerebral and lung secondaries),

Myofibroma of the cervical spine presenting as brachialgia

2014 ◽  
Vol 21 (6) ◽  
pp. 916-918 ◽  
Author(s):  
Benjamin M. Davies ◽  
Daniel du Plessis ◽  
Kanna K. Gnanalingham
Keyword(s):  
Soft Tissue ◽  
Facet Joint ◽  
Surgical Excision ◽  
En Bloc Resection ◽  
Bloc Resection ◽  
Benign Tumors ◽  
Histopathological Analysis ◽  
En Bloc ◽  
Left Posterior ◽  
Midline Approach

Myofibromas are rare, benign tumors of myofibroblasts. Their occurrence in adults, involving bone outside of the head and neck, is especially uncommon. The authors report the case of a 34-year-old woman who presented with left-sided brachialgia. Magnetic resonance imaging identified an expansile soft-tissue lesion of the C6–7 facet joint. En bloc resection via a left posterior midline approach was undertaken. Histopathological analysis confirmed the lesion to be a myofibroma. Brachialgia resolved following surgery and there is no evidence of recurrence at 20 months follow-up. Myofibroma is a rare cause of primary soft-tissue tumor of the spine. Surgical excision remains the mainstay of treatment.

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