title: Wide resection of the upper right hemithorax combined with amputation of the right arm for a recurrent desmoid tumor.
abstract: 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.
authors.affiliation: Department of Chest Surgery, Osaka Police Hospital, Tennoji, Japan. sak@serenade.plala.or.jp
authors.forename: Yasushi
authors.initials: Y
authors.lastname: Sakamaki
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Kido
authors.forename: Motoaki
authors.initials: M
authors.lastname: Yasukawa
authors.forename: Takashi
authors.initials: T
authors.lastname: Fujiwara
authors.forename: Katsuki
authors.initials: K
authors.lastname: Kuwae
authors.forename: Motomu
authors.initials: M
authors.lastname: Maeda
mesh_terms: 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