A case of extensive chest wall resection and reconstruction with titanium plates and free latissimus dorsi flaps for a large malignant soft tissue tumor

Kumagai Ryosuke, Wakejima Ryo, Baba Shunichi, Seto Katsutoshi, Ishibashi Hironori, Okubo Kenichi

doi:10.2995/jacsurg.38.9

<p>The patient was an 80-year-old man who noted a lower back mass measuring 5 cm. The mass rapidly enlarged to 18 cm within five months. The patient was subsequently referred to our hospital. Magnetic resonance imaging showed a subcutaneous mass, measuring 170 × 140 × 80 mm, in the left lower back region. Based on the biopsy results, the patient was diagnosed with a liposarcoma. In coordination with plastic surgeons, excision of the lower back mass and reconstruction of the chest wall were performed.</p><p>The parietal pleura was conserved; however, the tumor, overlying skin, muscular layers, and 8^th to 12^th ribs were removed. Two titanium plates, polypropylene mesh, and free latissimus dorsi flaps were used to reconstruct the chest wall. The patient had a favorable postoperative course. Postoperative pathological exam confirmed the diagnosis of pleomorphic sarcoma. In this case, bony thorax and soft tissue reconstructions were performed while preserving the shape of the thoracic cavity in a patient with a large primary malignant soft tissue tumor.</p>

A case of extensive chest wall resection and reconstruction with titanium plates and free latissimus dorsi flaps for a large malignant soft tissue tumor

Bibliographic Information

Search this article

Abstract

Journal

References(14)*help

Keywords

Details 詳細情報について

Export

Report a problem