Author of

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  P3.04 - Poster Session with Presenters Present (ID 474)

  • Event: WCLC 2016
  • Type: Poster Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 12/07/2016, 14:30 - 15:45, Hall B (Poster Area)

  • 18702

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    P3.04-032 - Sternal Reconstruction with a Custom-Made Titanium Neosternum after Resection of a Solitary Breast Cancer Metastasis (ID 3912)

    14:30 - 14:30  |  Author(s): R. Marouf
    • Abstract
    • Slides

    Background:
    Bone is the most common metastatic site of breast cancer; and sternal metastasis usually occurs in an isolated setting. We report an extremely rare case of a patient who underwent subtotal sternal resection, followed by reconstruction using a new total titanium custom-made neosternum and the complete coverage of the surgical wound by latissimus dorsi flap suggest that these procedures may be useful in reconstructing large defects in the chest wall.
    
    Methods:
    A 47 -year-old female with history of breast carcinoma and been given a left –sided conservative surgery 4 years ago with chemotherapy and radiotherapy. She’s presented with a progressively enlarging mass of her anterior chest wall and dull pain in the upper-mid chest. Computed tomography revealed an osteolytic lesion in the bone marrow of the sternum. The tumor extended across the destroyed cortex involving some of the costal cartilage and most of the sternal body. Diagnosis of invasive ductal carcinoma was made by echo-guided core biopsy. 18-Fluoro-Desoxy-Glucose(FDG) positron-emission tomography (FDG-PET) showed hypermetabolic left breast mass without distant metastasis.
    
    Results:
    Sternal resection was performed successfully and a custom-made titanium neosternum was designed based on three dimensional simulation from preoperative chest computed tomography to reconstruct the anterior chest wall. Postoperative care was uneventful during a 10-day in-hospital stay. After a 6-month follow-up, the patient denied any shortness of breath, chest pain or limitation on her daily activities. The chest was stable without any paradoxical motion. Chest X-ray did not show any material dysfonction, pleural effusion or lung abnormalities.
    
    Conclusion:
    This new material used in our sternal reconstruction may extend the existing range of indications of sternectomy for cancer with curative intent.
    
    

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