Wide resection of the upper right hemithorax combined with amputation of the right arm for a recurrent desmoid tumor.
A 66-year-old woman had a recurrent desmoid tumor in the right thoracic apex. The tumor infiltrated the brachial plexus and eventually rendered the upper right extremity functionless. The tumor was removed by aggressive wide resection of the right upper hemithorax with simultaneous amputation of the functionless right arm. Reconstruction of the chest wall was accomplished, utilizing the soft tissues of the remnant arm as a pedicled flap to cover the full-thickness defect. Aggressive wide resection of the chest wall with limb amputation is technically challenging but unavoidable in some cases of recurrent desmoid tumor.
Sakamaki
Yasushi
Y
Department of Chest Surgery, Osaka Police Hospital, Tennoji, Japan. sak@serenade.plala.or.jp
Kido
Tetsuo
T
Yasukawa
Motoaki
M
Fujiwara
Takashi
T
Kuwae
Katsuki
K
Maeda
Motomu
M
D000368:Aged; D000671:Amputation, Surgical; D001132:Arm / Q000601:surgery*; D020516:Brachial Plexus Neuropathies / Q000150:complications / Q000601:surgery; D005260:Female; D018222:Desmoid Tumors / Q000150:complications / Q000473:pathology / Q000601:surgery*; D006801:Humans; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010243:Paralysis / Q000209:etiology / Q000601:surgery; D013899:Thoracic Neoplasms / Q000150:complications / Q000473:pathology / Q000601:surgery*; D013908:Thoracotomy