Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

Choi, Chang Woo; Park, You Kyeong; Shin, Hyun-Sik; Lim, Jae Woong; Her, Keun

doi:10.5090/jcs.20.103

Cited by 2 publications

(2 citation statements)

References 7 publications

(7 reference statements)

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“…To overcome these bottlenecks, we proposed a new sandwich structure, referred to as PMMA, encapsulated with a LARS mesh. PMMA can provide sufficient support to the chest wall (Motono et al, 2019), is easy to manipulate, and less time-consuming to mould into sternal prostheses, due to the potential of a 3D-printing precast mould and the high plasticity of PMMA in the early period (Choi et al, 2021). In this case, we secured the prosthesis to the ribs with interrupted 1-0 sutures to reduce the incidence…”

Section: Discussionmentioning

confidence: 99%

Primary sternal tumour resection and reconstruction with LARS mesh-bone cement sandwich by 3D-printing: Case reports

Zhang

Hou

Xia³

et al. 2023

Front. Bioeng. Biotechnol.

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Background: There are many reconstruction methods after sternal tumor resection, but the method that LARS mesh combines with bone-cement has not been reported.Case report: A 54-year-old female patient and a 55-year-old male patient admitted to our department all presented with sternum masses, but neither presented with respiratory disorders. In women with limited manubrium sternum lesions, we resected the manubrium sternum completely. In men with sternal lesions, we removed part of the sternum and part of the sternocostal joint. The patients recovered well after surgery, and there were no respiratory complications and no tumor recurrence during the 1-year follow-up respectively.Conclusion: We report two cases of sternal defect repair using LARS mesh combined with bone cement. This method is safe and stable, and can achieve satisfactory results.

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Section: Discussionmentioning

confidence: 99%

Primary sternal tumour resection and reconstruction with LARS mesh-bone cement sandwich by 3D-printing: Case reports

Zhang

Hou

Xia³

et al. 2023

Front. Bioeng. Biotechnol.

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“…Among these lesions we find both sternal invasion from adjacent diseases such as breast or mediastinal tumors (thymic carcinoma, germ cell tumors and others) as well as purely metastatic lesions. Among the latter, breast cancer is usually the most frequent with up to 50% incidence in some series ( 7 ) but other possible metastatic tumors are solitary plasmacytoma ( 8 ), renal cell cancer ( 9 ), melanoma ( 10 ), thyroid carcinoma ( 11 ), colorectal cancer, cervical cancer, hemangioma ( 12 ) or hepatocellular carcinoma ( 13 ). Given their overall low incidence and therefore limited published data, there is no consensus on their treatment ( 13 ), though given their bad prognosis and the high rate of incomplete resections performed the trend is towards limited palliative exeresis to avoid pain, infection or pulmonary function impairment, always within a multimodal treatment scheme ( 7 ).…”

Section: Indications For Sternal Resection ( Table 1 ...mentioning

confidence: 99%

Sternal resection and reconstruction: a review

Aranda,

Gomez,

Fuentes

et al. 2024

J Thorac Dis

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Sternal resection and reconstruction is a rare but sometimes challenging procedure due to its profound anatomical and functional implications. For these reasons, an adequate preoperative evaluation is crucial in each patient, especially when we are faced with malignant lesions that sometimes require extensive radical resections, thus demanding an integrated reconstructive strategy that allows stabilizing the chest wall, protecting the underlying mediastinum and minimize resulting deformity. The large number of available reconstruction techniques and the lack of quality studies for their analysis mean that sternal reconstruction depends to a great extent on the consensus of experts or, more frequently, on the simple preference of each surgical team. This article aims to provide an overview of sternal resection and reconstruction. Indications for partial versus total or subtotal sternectomy are suggested and their surgical and oncological outcomes are presented. The use of rigid or semi-rigid prostheses is an ongoing debate, although recent functional data advise reserving rigid reconstructions for extensive defects. Sternectomy for primary tumors or local tumor involvement has a good prognosis with an overall survival of 5 and 10 years: 67% and 58%, respectively, provided that a radical resection with free surgical margins is performed. Breast cancer is the most common secondary sternal tumor, and surgery can offer 5-year overall survival ranging from 20% to 50% provided an R0 resection is achieved, although radical surgery does not appear to decrease rates. of recurrence. Metastases of origin other than the breast give the worst results (less than 40% at 36 months and 0% at 5 years) and although the data available on these cases are limited, the radicality of the resection does not seem to modify the survival or recurrence rates, so a conservative approach is probably more appropriate.

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Sternal Resection and Reconstruction for Solitary Plasmacytoma of the Sternum: Case Report

Cited by 2 publications

References 7 publications

Primary sternal tumour resection and reconstruction with LARS mesh-bone cement sandwich by 3D-printing: Case reports

Primary sternal tumour resection and reconstruction with LARS mesh-bone cement sandwich by 3D-printing: Case reports

Sternal resection and reconstruction: a review

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