[Chest wall reconstruction with pasteurized autogenous bone grafts after resection of desmoid tumor--a case report].
We reported a case of twenty-two years old woman who underwent seventh operation for recurrent desmoid tumor of posterior area of the lower zone of the left chest wall. For complete resection of the tumor, wide resection of the chest wall including 6th to 12th ribs was done. We used autobone grafts at the tumor site to reconstruct her bony thorax. The sixth, seventh, and ninth ribs were used as pasteurized autogenous bone grafts; they were heated in water at 60 degrees C for 30 minutes then cool, and replaced to the bony thoracic area. Her postoperative state was good and no complication was observed. Pasteurization process makes tumor tissue necrotic, and pasteurized bone has osteoinductive activity and have mechanical strength similar as that of fresh bone graft. So, we concluded that pasteurized autogenous bone grafting may be a useful method for chest wall reconstruction.
Seki
M
M
Department of Surgery, Keio University, Tokyo, Japan.
Kawamura
M
M
Horinouchi
H
H
Kikuchi
K
K
Kobayashi
K
K
D000328:Adult; D016025:Bone Transplantation / Q000379:methods*; D005260:Female; D018222:Desmoid Tumors / Q000601:surgery*; D006801:Humans; D012272:Ribs / Q000601:surgery; D012983:Soft Tissue Neoplasms / Q000601:surgery*; D019616:Thoracic Surgical Procedures; D014182:Transplantation, Autologous