Journal of Pediatric Surgery Case Reports

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Journal of Pediatric Surgery Case Reports Surgical treatment of retrosternal extraosseous Ewing Sarcoma in a 6-years old female: A clamshell approach with hemysternectomy and application of a non-crosslinked extracellular matrix Francesco Molinaro, Rossella Angotti, Chiara Pellegrino, Leonardo Casini, Luca Luzzi, Piero Paladini, Giulia Varrasso, Amalia Schiavetti, Anna Clerico, Mario Messina Journal of Pediatric Surgery Case Reports Volume 22, Pages 9-13 (July 2017) DOI: 10.1016/j.epsc.2017.05.001 Copyright © 2017 The Authors Terms and Conditions

Fig. 1 CT-scan and 3D reconstruction of the retrosternal and upper lobal mass. Journal of Pediatric Surgery Case Reports 2017 22, 9-13DOI: (10.1016/j.epsc.2017.05.001) Copyright © 2017 The Authors Terms and Conditions

Fig. 2 [a-b-c]: Preoperative CT scan shows the reduction of the retrosternal mass after the “Eudra CT:2008 – ISG AIEOP EW1” protocol. [a] axial; [b-c] coronal. Journal of Pediatric Surgery Case Reports 2017 22, 9-13DOI: (10.1016/j.epsc.2017.05.001) Copyright © 2017 The Authors Terms and Conditions

Fig. 3 [a-b]: Hemysternectomy [a]; the sternum was reconstructed using a non-crosslinked matrix [b]. Journal of Pediatric Surgery Case Reports 2017 22, 9-13DOI: (10.1016/j.epsc.2017.05.001) Copyright © 2017 The Authors Terms and Conditions

Fig. 4 3D reconstruction (from CT-scan) after four month from the surgery shows the bony callus related to the non-crossed linked matrix. Journal of Pediatric Surgery Case Reports 2017 22, 9-13DOI: (10.1016/j.epsc.2017.05.001) Copyright © 2017 The Authors Terms and Conditions

Fig. 5 3D reconstruction (from CT-scan) after four month from the surgery. It is shown the diaphragmatic mass. Journal of Pediatric Surgery Case Reports 2017 22, 9-13DOI: (10.1016/j.epsc.2017.05.001) Copyright © 2017 The Authors Terms and Conditions