Closure of massive chest wall defects after full-thickness chest wall resection.
Abstract
We report an unusual repair of a massive chest wall defect resulting from resection of a chronic ulcer after radiation therapy for stage IV breast carcinoma. The defect was 690 cm2 and included the body of the sternum, 10 ribs, and the anterior portion of the diaphragm. Chest wall reconstruction was accomplished with multiple flaps: a pectoralis major advancement flap, a reversed abdominoplasty, an omental flap, and a latissimus dorsiscapular-parascapular musculofasciocutaneous (hemiback) flap. Skeletal reconstruction with prosthetic material or bone grafts was not performed in this patient. The problems associated with complex chest wall reconstructions are discussed.
추출된 의학 개체 (NER)
| 유형 | 영어 표현 | 한국어 / 풀이 | UMLS CUI | 출처 | 등장 |
|---|---|---|---|---|---|
| 시술 | flap
|
피판재건술 | dict | 3 | |
| 시술 | abdominoplasty
|
복부성형술 | dict | 1 | |
| 해부 | sternum
|
scispacy | 1 | ||
| 해부 | anterior
|
scispacy | 1 | ||
| 해부 | pectoralis
|
scispacy | 1 | ||
| 해부 | Skeletal
|
scispacy | 1 | ||
| 해부 | breast
|
유방 | dict | 1 | |
| 합병증 | ribs
|
scispacy | 1 | ||
| 합병증 | diaphragm
|
scispacy | 1 | ||
| 합병증 | omental flap
|
scispacy | 1 | ||
| 질환 | ulcer
|
C0041582
Ulcer
|
scispacy | 1 | |
| 질환 | breast carcinoma
|
C0678222
Breast Carcinoma
|
scispacy | 1 | |
| 기타 | wall
|
scispacy | 1 | ||
| 기타 | bone grafts
|
scispacy | 1 | ||
| 기타 | patient
|
scispacy | 1 |
MeSH Terms
Aged; Breast Neoplasms; Carcinoma, Ductal, Breast; Combined Modality Therapy; Female; Humans; Radiation Injuries; Radiotherapy, High-Energy; Surgical Flaps; Thoracic Diseases; Thoracoplasty; Ulcer
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