Chest wall resection and reconstruction by composite prosthesis for locally recurrent breast carcinoma

Petrella, Francesco; Iacono, Giorgio Lo; Casiraghi, Monica; Gherzi, Lorenzo; Prisciandaro, Elena; Garusi, Cristina; Spaggiari, Lorenzo

doi:10.21037/jtd.2019.07.92

Cited by 2 publications

(2 citation statements)

References 17 publications

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“…Finally, we found a meager rate of prosthetic infection, to the point that only one prosthesis was removed for infection out of a total of 32. We also highlighted these reliability and efficiency data in another series published by our group in about 166 cases of patients with all tumor types, primary and secondary, who underwent chest wall resection and rigid prosthesis reconstruction over 18 years, where only 8 patients required prosthesis removal for infection [ 16 , 17 ].…”

Section: Discussionmentioning

confidence: 80%

The Role of Surgery in Primary Chest Wall Tumors: Over 20 Years’ Experience in Resection and Reconstruction

Iacono

Mazzella

Mohamed

et al. 2023

Cancers

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Background: Primary chest wall tumors comprise a heterogeneous group of neoplasms arising from soft tissues and bones. While surgical excision is the standard of care for benign tumors, the management of malignant tumors requires multimodal treatment. We conducted a predictive analysis of outcome, recurrence-free and overall survival. Methods: We retrospectively reviewed the clinical and pathological records of all patients treated in our center between 1998 and 2020. Results: 53 patients (15–85 years) were treated in our department. The average tumor diameter was 65 ± 35 mm (10–160 mm). Negative margins were obtained in 48 patients (90.6%), whereas in the remaining 5, R1 resection was accomplished. Median overall survival was 63,03 months (1–282 months). Overall survival was 90% at 1 year, 78% at 2 years, and 61% at 5 years. Our analysis identified tumor diameter, postoperative complications, and high grade of malignancy as factors that can influence prognosis. Conclusions: The treatment of primary chest wall tumors remains a very challenging process. Different histological types preclude definition of an unequivocal approach. Complete resection with healthy margins remains a definitive cornerstone in the treatment of these cancers as part of a more comprehensive approach.

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Section: Discussionmentioning

confidence: 80%

The Role of Surgery in Primary Chest Wall Tumors: Over 20 Years’ Experience in Resection and Reconstruction

Iacono

Mazzella

Mohamed

et al. 2023

Cancers

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“…6,8,9 It is also the most common indication for prosthetic graft removal. 10 Most infections were related to the sandwich technique of reconstruction, where a methyl-methacrylate plate is sandwiched between two mesh and used for rigid support.…”

Section: Discussionmentioning

confidence: 99%

Early Outcomes of the Bird-cage Chest Wall Reconstruction in the Philippine General Hospital

2022

Acta Med Philipp

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Objective. To describe the treatment outcomes of patients with chest wall tumors undergoing resection and Birdcage chest wall reconstruction in the local setting.Methods. Data were obtained from 13 patients who underwent chest wall resection and Bird-cage (methylmethacrylate neo-rib, mesh, soft tissue, and skin) reconstruction in the Philippine General Hospital from January 2008 to September 2019. Demographics, operative procedures, 30-day operative morbidity, and mortality were evaluated using means and frequencies.Results. We included 13 (77% female) patients with a mean age of 44.5 years. The most common indication for chest wall resection was recurrent neoplasm (5/13, 38.46%). The most extensive chest wall defect was 600 cm 2 . The average length of ICU stay was 5.15 days, and two patients had prolonged intubation (>3 days). The graft infection rate was 38%, pneumonia 23%, and the operative mortality rate was zero. Conclusion.Bird-cage reconstruction is a safe, reliable, and cheap method of providing rigid chest wall reconstruction for chest wall tumor resection.

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Chest wall resection and reconstruction by composite prosthesis for locally recurrent breast carcinoma

Cited by 2 publications

References 17 publications

The Role of Surgery in Primary Chest Wall Tumors: Over 20 Years’ Experience in Resection and Reconstruction

The Role of Surgery in Primary Chest Wall Tumors: Over 20 Years’ Experience in Resection and Reconstruction

Early Outcomes of the Bird-cage Chest Wall Reconstruction in the Philippine General Hospital

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