Resection of a metastatic sternal carcinoma and reconstruction of the chest wall: a case report.
Abstract
A large metastatic squamous carcinoma of the anterior chest wall was managed by en-bloc resection of the thoracic wall. The extensive defect resulting from the resection was bridged with Marlex mesh superimposed on an omental flap that served as recipient to partial-thickness skin grafts. This composite reconstruction restored an efficient bellows action to the chest cage, manifested by the lack of anterior flailing and postoperative spirometry values, measured at the bedside, that were 75% of those obtained preoperatively. During the initial postoperative period, however, mechanical ventilatory assistance was required to treat an adult respiratory distress syndrome that together with mild anterior flailing made early extubation impossible.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 1 | |
| 해부 | skin grafts
|
scispacy | 1 | ||
| 해부 | anterior
|
scispacy | 1 | ||
| 합병증 | omental flap
|
scispacy | 1 | ||
| 질환 | sternal carcinoma
|
scispacy | 1 | ||
| 질환 | squamous carcinoma of the anterior chest wall
|
scispacy | 1 | ||
| 질환 | respiratory distress syndrome
|
C0035220
Respiratory Distress Syndrome, Newborn
|
scispacy | 1 | |
| 질환 | squamous carcinoma
|
scispacy | 1 | ||
| 기타 | anterior chest wall
|
scispacy | 1 | ||
| 기타 | thoracic wall
|
scispacy | 1 |
MeSH Terms
Carcinoma, Squamous Cell; Humans; Intubation, Intratracheal; Lymphatic Metastasis; Male; Middle Aged; Pleural Neoplasms; Positive-Pressure Respiration; Skin Transplantation; Sternum; Surgery, Plastic; Surgical Mesh
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