Resection of radiation-induced sarcoma of the clavicle.
We report here the resection of a radiation-induced sarcoma (RIS) of the left clavicle developed in a 59-year-old woman 13 years after radiation for breast cancer. Surgery consisted of extirpation of the tumor with a combined resection of the total layer of the chest wall, the left brachiocephalic vein, and the left subclavian vein, reconstructed with a pediculated musculocutaneous graft using the right latissimus dorsi muscle. RIS of the clavicle is rare, and the prognosis might be poor. However, a complete removal of the tumor is feasible and can be performed safely.
Osoegawa
Atsushi
A
Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Yoshino
Ichiro
I
Yamaguchi
Masafumi
M
Kameyama
Toshifumi
T
Kometani
Takuro
T
Kumamoto
Yoshihiko
Y
Maehara
Yoshihiko
Y
D001859:Bone Neoplasms / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D001943:Breast Neoplasms / Q000532:radiotherapy*; D002968:Clavicle / Q000473:pathology / Q000528:radiation effects / Q000601:surgery*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D008875:Middle Aged; D018482:Muscle, Skeletal / Q000637:transplantation; D009381:Neoplasms, Radiation-Induced / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D018714:Radiotherapy, Adjuvant / Q000009:adverse effects; D012509:Sarcoma / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D016038:Skin Transplantation; D013249:Sternum / Q000601:surgery; D013908:Thoracotomy; D014057:Tomography, X-Ray Computed; D014656:Vascular Surgical Procedures