Journal of the Formosan Medical Association
Volume 109, Issue 4 , Pages 309-314, April 2010

Resection of Primary Sternal Osteosarcoma and Reconstruction With Homologous Iliac Bone: Case Report

  • Peng Ren
  • ,
  • Jianguo Zhang

      Affiliations

    • Corresponding Author InformationCorrespondence to: Dr Jianguo Zhang, Department of Thoracic surgery, Tianjin Medical University Cancer Hospital and Institute, Tianjin 300060, China
  • ,
  • Xizeng Zhang

Department of Thoracic Surgery, Cancer Hospital and Institute Tianjin Medical University, Tianjin 300060, China

Received 30 September 2008; received in revised form 12 February 2009; accepted 28 July 2009.

Article Outline

Primary sternal osteosarcoma is rare and has a poor prognosis. Here, we describe the case of a 44-year-old man with sternal osteosarcoma. He underwent subtotal sternectomy with partial resection of the bilateral ribs and left clavicle. Sternal reconstruction was performed with an iliac bone allograft, which was fixed by polyester suture. The patient had a normal postoperative course, followed by adjuvant chemotherapy. The allograft healed with correct integration, and have been no signs of recurrence and absorption during 14 years of follow-up. The homologous iliac bone is a good choice for sternal reconstruction because it can become a part of the host.

Key Words:  iliac bone , osteosarcoma , reconstructive surgical procedures , sternum

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References 

  1. Briccoli A , Giacomini S , Rocca M , et al.   Osteosarcoma of the sternum: two case reports . Tumori . 2002;88:160–162
  2. Michael JL , Willard AF . Malignant bone tumors of the chest wall . Semin Thorac Cardiovasc Surg . 1999;11:278–284
  3. Lequaglie C , Massone PB , Giudice G , et al.   Gold standard for sternectomies and plastic reconstructions after resections for primary or secondary sternal neoplasms . Ann Surg Oncol . 2002;9:472–479
  4. Athanassiadi K , Kalavrouziotis G , Rondogianni D , et al.   Primary chest wall tumors: early and long-term results of surgical treatment . Eur J Cardiothorac Surg . 2001;19:589–593
  5. Penfield Faber L , Somers J , Templeton AC . Chest wall tumors . Curr Probl Surg . 1995;8:663–747
  6. Sabanathan S , Shah R , Mearns AJ . Surgical treatment of primary malignant chest wall tumors . Eur J Cardiothorac Surg . 1999;11:1011–1016
  7. Heller L , Huang WC , Chen HC , et al.   Vascularized iliac bone flap used for sternum reconstruction after resection of chondrosarcoma . Plast Reconstr Surg . 2002;15:1088–1091
  8. Nuria N , Pablo B , Marcelo FJ , et al.   Reconstruction of chest wall defects after resections of large neoplasms: ten-year experience . Int Cardiovasc Thorac Surg . 2005;4:250–255
  9. Martini N , Huvos AG , Burt ME , et al.   Predictors of survival in malignant tumors of the sternum . J Thorac Cardiovasc Surg . 1996;111:96–106
  10. Lardinois D , Müller M , Furrer M , et al.   Functional assessment of chest wall integrity after methylmethacrylate reconstruction . Ann Thorac Surg . 2000;69:919–923
  11. Bisgard JD , Swenson SA . Tumors of the sternum: report of a case with special operative technic . Arch Surg . 1948;56:570–578
  12. Campbell DA . Resection of the sternum for metastatic carcinoma . Ann Surg . 1949;129:394–398
  13. Puma F , Avenia N , Ricci F , et al.   Bone Heterograft for chest wall reconstruction after sternal resection . Ann Thorac Surg . 1996;61:525–529
  14. Kroll SS , Walsh G , Ryan B , et al.   Risks and benefits of using Marlex mesh as a prosthesis in the repair of thoracic wall defects . Ann Plast Surg . 1993;31:303–306
  15. Pairolero PC , Arnold PG . Chest wall tumors: experience with 100 consecutive patients . J Thorac Cardiovasc Surg . 1985;90:367–372
  16. Chapelier AR , Missana MC , Couturaud B , et al.   Sternal re-section and reconstruction for primary malignant tumors . Ann Thorac Surg . 2004;77:1001–1007
  17. Cara JA , Lacleriga AF , Canadell J . Iliac allograft used for sternal reconstruction after resection of a chondrosarcoma . Int Orthop . 1993;17:297–299
  18. Garcia-Tutor E , Yeste L , Murillo J , et al.   Chest wall reconstruction using iliac bone allografts and muscle flaps . Ann Plast Surg . 2004;52:54–60
  19. Burt M . Primary malignant tumors of the chest wall: the Memorial Sloan–Kettering Cancer Center experience . Chest Surg Clin N Am . 1994;4:137–154

PII: S0929-6646(10)60057-5

doi:10.1016/S0929-6646(10)60057-5

Journal of the Formosan Medical Association
Volume 109, Issue 4 , Pages 309-314, April 2010