Sternal resection for metastasis from thyroid carcinoma and reconstruction with the sandwiched Marlex and stainless steel mesh.
A case of 69-year-old woman with a solitary sternal bone metastasis from thyroid carcinoma undergoing surgical therapy was reported here. On admission, most part of the body of the sternum was destroyed by tumor. Subtotal sternectomy was performed and a part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with a sandwiched Marlex and stainless steel mesh. Pathological examination of the resected specimen revealed metastatic papillary carcinoma of the thyroid. Her postoperative course was uneventful. The reconstruction with Marlex and stainless steel mesh seemed to be an appropriate procedure to prevent paradoxical movement of the thorax and protect the intrathoracic organs. Stainless steel mesh compensated for limited resiliency of Marlex mesh and remained rigid in all directions.
Haraguchi
Shuji
S
Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan.
Yamashita
Yasuo
Y
Yamashita
Koji
K
Hioki
Masafumi
M
Matsumoto
Koshi
K
Shimizu
Kazuo
K
D000368:Aged; D001859:Bone Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D002291:Carcinoma, Papillary / Q000473:pathology / Q000556:secondary* / Q000601:surgery*; D005260:Female; D006801:Humans; D011126:Polypropylenes; D019651:Plastic Surgery Procedures / Q000379:methods*; D013193:Stainless Steel; D013249:Sternum / Q000473:pathology / Q000601:surgery*; D013526:Surgical Mesh; D013964:Thyroid Neoplasms / Q000473:pathology*; D016896:Treatment Outcome
D011126:Polypropylenes; D013193:Stainless Steel