Sternal resection and reconstruction for primary malignant tumors

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Presentation transcript:

Sternal resection and reconstruction for primary malignant tumors Alain R Chapelier, MD, PhD, Marie-Christine Missana, MD, Benoit Couturaud, MD, Elie Fadel, MD, PhD, Dominique Fabre, MD, Sacha Mussot, MD, Pierre Pouillart, MD, Philippe G Dartevelle, MD The Annals of Thoracic Surgery Volume 77, Issue 3, Pages 1001-1007 (March 2004) DOI: 10.1016/j.athoracsur.2003.08.053

Fig 1 Leiomyosarcoma of the sternal body in a 49-year-old female. (A) Sagittal magnetic resonance imaging scan. (B) Subtotal sternectomy sparing the uppermost of the manubrium. (C) Reconstruction with pectoralis major muscles translation and skin advancement. (D) Final result. The Annals of Thoracic Surgery 2004 77, 1001-1007DOI: (10.1016/j.athoracsur.2003.08.053)

Fig 2 Radiation-induced malignant fibrous histiocytoma of the sternum in a 67-year-old female. (A) Axial computed tomographic scan. (B) Soft tissue reconstruction with a latissimus dorsi myocutaneous flap after partial sternectomy associated with a mastectomy. The Annals of Thoracic Surgery 2004 77, 1001-1007DOI: (10.1016/j.athoracsur.2003.08.053)

Fig 3 Overall survival. The Annals of Thoracic Surgery 2004 77, 1001-1007DOI: (10.1016/j.athoracsur.2003.08.053)

Fig 4 Survival by histologic grade in patients with sarcomas (number = 33). The Annals of Thoracic Surgery 2004 77, 1001-1007DOI: (10.1016/j.athoracsur.2003.08.053)