A suitable system of reconstruction with titanium rib prosthesis after chest wall resection for Ewing sarcoma.
The recent improvements in chemotherapy and surgical resection in Ewing sarcoma (ES) increased the overall survival as well as the importance of chest wall reconstruction. These improvements are in order to avoid asymmetrical growth, functional and cosmetic compromise after surgery. Chest wall reconstruction still remains a big issue in young patients with ES. We present a case of ES of the left chest wall, arising from a rib, in a 14-year-old patient. He was admitted after neoadjuvant chemotherapy and radiotherapy. The patient underwent a chest wall resection of three ribs and a wedge lung resection of the upper lobe followed by chest wall reconstruction with Stratos™ rib titanium prostheses. This new device is suitable for reconstruction after major chest wall resection with good cosmetic and functional results. During the follow-up, there was no evidence of local and distant recurrence, the pain was under control and there were no functional alterations in the chest wall.
Department of Clinical and Biological Sciences, University of Turin, Thoracic Surgery Unit, San Luigi Hospital, 10043 Orbassano, Turin, Italy. andrea_bille@hotmail.it
Andrea
A
Billè
Mara
M
Gisabella
Luca
L
Errico
Piero
P
Borasio
D000293:Adolescent; D001859:Bone Neoplasms / Q000175:diagnosis / Q000628:therapy; D003131:Combined Modality Therapy; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D009364:Neoplasm Recurrence, Local / Q000175:diagnosis / Q000628:therapy*; D018365:Neoplasm, Residual; D019736:Prostheses and Implants; D019919:Prosthesis Implantation / Q000379:methods; D019651:Plastic Surgery Procedures / Q000379:methods*; D012272:Ribs / Q000601:surgery*; D012512:Sarcoma, Ewing / Q000175:diagnosis / Q000628:therapy; D035441:Thoracic Wall / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D014025:Titanium; D014057:Tomography, X-Ray Computed / Q000379:methods; D016896:Treatment Outcome
D014025:Titanium