[Radiation-induced sternal tumors: value of myocutaneous flap of the latissimus dorsi].
Two patients treated by radiotherapy, one 13 years previously for Hodgkin's thymoma and the other 10 years previously for breast cancer, presented with a radiation-induced sternal tumour. The first case had undergone manubriectomy for fibrosarcoma complicated by dehiscence of the skin wound one year prior to referral to our unit: she presented with a haemorrhagic ulcerated recurrence. The lesions were widely excised (skin defect: 13 x 13 cm). The second patient underwent "en bloc" cutaneo-osteomyopericardectomy with omentoplasty onto the pericardium and sternal prosthesis (skin defect: 12 x 7 cm). These tumours are rare, but the radiation-induced skin damage requires wide excision. In both cases, the skin defect was easily repaired by means of a latissimus dorsi myocutaneous flap.
Riquet
M
M
Service de Chirurgie Thoracique, Hôpital Laënnec, Paris.
Bellamy
J
J
Houel
R
R
de Gramont
A
A
Zittoun
R
R
Debesse
B
B
D000328:Adult; D001859:Bone Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D001943:Breast Neoplasms / Q000532:radiotherapy; D005260:Female; D006689:Hodgkin Disease / Q000532:radiotherapy; D006801:Humans; D009364:Neoplasm Recurrence, Local; D009381:Neoplasms, Radiation-Induced / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012878:Skin Neoplasms / Q000601:surgery; D013249:Sternum / Q000000981:diagnostic imaging / Q000503:physiopathology* / Q000601:surgery; D013524:Surgical Flaps; D013945:Thymoma / Q000532:radiotherapy; D013953:Thymus Neoplasms / Q000532:radiotherapy
Tumeurs sternales radio-induites: intérêt du lambeau myocutané du grand dorsal.