Resection of Sternal Metastasis from Endometrial Carcinoma Followed by Reconstruction with Sandwiched Marlex and Stainless Steel Mesh: Report of a Case |
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Authors: | Shuji Haraguchi Masafumi Hioki Takao Hisayoshi Koji Yamashita Kiyoshi Koizumi Kazuo Shimizu |
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Institution: | (1) Department of Surgery, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan;(2) Department of Surgery, Tohoku Rosai Hospital, 4-3-21 Daihara, Aoba-ku, Sendai, Miyagi 981-8563, Japan;(3) Department of Surgery II, Nippon Medical School Second Hospital, 1-396 Kosugi-cho, Nakahara-ku, Kawasaki, Kanagawa 211-8533, Japan |
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Abstract: | We report the successful resection of sternal metastasis from endometrial carcinoma, followed by reconstruction of the chest
defect, in an 87-year-old woman. We performed subtotal sternectomy and concurrent resection of the ribs and overlying soft
tissue. The skeletal defect was then reconstructed with sandwiched Marlex and stainless steel mesh, and soft tissue coverage
was accomplished by using a pectoralis major advancement flap. The patient had an uneventful postoperative course with no
sign of recurrence during 5 years of follow-up. Thus, reconstruction with Marlex and stainless steel mesh could be an effective
technique for preventing paradoxical movement of the thorax and protecting the intrathoracic organs. |
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Keywords: | Sternal metastasis Endometrial carcinoma Marlex mesh Stainless steel mesh |
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