Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast
A 54-year-old lady was referred to our institute because of a massive thoracic neoplasm arising from the thoracic wall which infiltrated and dislocated the left breast. Twenty years before, the patient had undergone a quadrantectomy with axillary dissection for an infiltrating ductal carcinoma of th...
Guardado en:
| Autores principales: | , , , , , , , , , , |
|---|---|
| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Frontiers Media S.A.
2021
|
| Materias: | |
| Acceso en línea: | https://doaj.org/article/cc33d7aaf0b64988a8cb43ae589129ed |
| Etiquetas: |
Agregar Etiqueta
Sin Etiquetas, Sea el primero en etiquetar este registro!
|
| id |
oai:doaj.org-article:cc33d7aaf0b64988a8cb43ae589129ed |
|---|---|
| record_format |
dspace |
| spelling |
oai:doaj.org-article:cc33d7aaf0b64988a8cb43ae589129ed2021-11-11T05:26:59ZCase Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast2296-875X10.3389/fsurg.2021.773313https://doaj.org/article/cc33d7aaf0b64988a8cb43ae589129ed2021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fsurg.2021.773313/fullhttps://doaj.org/toc/2296-875XA 54-year-old lady was referred to our institute because of a massive thoracic neoplasm arising from the thoracic wall which infiltrated and dislocated the left breast. Twenty years before, the patient had undergone a quadrantectomy with axillary dissection for an infiltrating ductal carcinoma of the left breast, followed by adjuvant radiotherapy and chemotherapy. A true-cut biopsy of the mass showed a low differentiated malignant neoplasm with spindle-shaped cells. The patient underwent a total-body CT scan which showed a 16 × 15 × 10 cm largely necrotic mass with irregular and undefined margins, with little homolateral round-shaped cervical and mesenteric lymph nodes but no distant metastases. After a multidisciplinary discussion, we proposed surgery as the first therapeutic option. The planned treatment was a wide excision of the mass with the underlying ribs (II-VI) followed by the reconstruction of the thoracic wall using titanium bars covered by the acellular porcine dermis, latissimus dorsi flap, and finally, skin grafts from the thighs.Marco RastrelliMarco RastrelliClaudia Di PrataRoberto MarconatoPaolo Del FioreElisa GranzieraAntonella BrunelloVincenzo VindigniAndrea ZuinMarta SbaragliaMarta SbaragliaSaveria TropeaSimone MocellinSimone MocellinFrontiers Media S.A.articleradiation induced sarcomachest wall sarcomaadjuvant radiation therapybreastbreast cancerSurgeryRD1-811ENFrontiers in Surgery, Vol 8 (2021) |
| institution |
DOAJ |
| collection |
DOAJ |
| language |
EN |
| topic |
radiation induced sarcoma chest wall sarcoma adjuvant radiation therapy breast breast cancer Surgery RD1-811 |
| spellingShingle |
radiation induced sarcoma chest wall sarcoma adjuvant radiation therapy breast breast cancer Surgery RD1-811 Marco Rastrelli Marco Rastrelli Claudia Di Prata Roberto Marconato Paolo Del Fiore Elisa Granziera Antonella Brunello Vincenzo Vindigni Andrea Zuin Marta Sbaraglia Marta Sbaraglia Saveria Tropea Simone Mocellin Simone Mocellin Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| description |
A 54-year-old lady was referred to our institute because of a massive thoracic neoplasm arising from the thoracic wall which infiltrated and dislocated the left breast. Twenty years before, the patient had undergone a quadrantectomy with axillary dissection for an infiltrating ductal carcinoma of the left breast, followed by adjuvant radiotherapy and chemotherapy. A true-cut biopsy of the mass showed a low differentiated malignant neoplasm with spindle-shaped cells. The patient underwent a total-body CT scan which showed a 16 × 15 × 10 cm largely necrotic mass with irregular and undefined margins, with little homolateral round-shaped cervical and mesenteric lymph nodes but no distant metastases. After a multidisciplinary discussion, we proposed surgery as the first therapeutic option. The planned treatment was a wide excision of the mass with the underlying ribs (II-VI) followed by the reconstruction of the thoracic wall using titanium bars covered by the acellular porcine dermis, latissimus dorsi flap, and finally, skin grafts from the thighs. |
| format |
article |
| author |
Marco Rastrelli Marco Rastrelli Claudia Di Prata Roberto Marconato Paolo Del Fiore Elisa Granziera Antonella Brunello Vincenzo Vindigni Andrea Zuin Marta Sbaraglia Marta Sbaraglia Saveria Tropea Simone Mocellin Simone Mocellin |
| author_facet |
Marco Rastrelli Marco Rastrelli Claudia Di Prata Roberto Marconato Paolo Del Fiore Elisa Granziera Antonella Brunello Vincenzo Vindigni Andrea Zuin Marta Sbaraglia Marta Sbaraglia Saveria Tropea Simone Mocellin Simone Mocellin |
| author_sort |
Marco Rastrelli |
| title |
Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| title_short |
Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| title_full |
Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| title_fullStr |
Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| title_full_unstemmed |
Case Report: Surgical Reconstruction of a Massive Thoracic Wall Defect After the Resection of an Undifferentiated Radiation-Induced Sarcoma of the Breast |
| title_sort |
case report: surgical reconstruction of a massive thoracic wall defect after the resection of an undifferentiated radiation-induced sarcoma of the breast |
| publisher |
Frontiers Media S.A. |
| publishDate |
2021 |
| url |
https://doaj.org/article/cc33d7aaf0b64988a8cb43ae589129ed |
| work_keys_str_mv |
AT marcorastrelli casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT marcorastrelli casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT claudiadiprata casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT robertomarconato casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT paolodelfiore casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT elisagranziera casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT antonellabrunello casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT vincenzovindigni casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT andreazuin casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT martasbaraglia casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT martasbaraglia casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT saveriatropea casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT simonemocellin casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast AT simonemocellin casereportsurgicalreconstructionofamassivethoracicwalldefectaftertheresectionofanundifferentiatedradiationinducedsarcomaofthebreast |
| _version_ |
1718439539129712640 |