Baffi R R, Didolkar M S, Bakamjian V
J Thorac Cardiovasc Surg. 1977 Jul;74(1):105-8.
A case of desmoid tumor of the anterior chest and abdominal wall is presented. The entire body of the sternum along with the upper abdominal wall and inner parts of both breasts was resected. The resulting defect over the pericardium and abdomen was reconstructed by the omentum and Marlex mesh. The large skin defect was covered by bilateral thoracoabdominal tube pedicles. The patient had a stable chest wall with uncompromised respiratory function 1 week after the operation. Prevention of local recurrences of desmoid tumors requires wide excision of the involved soft tissues and bony structures. The principles of wide resection of soft tissue tumors, reconstruction of the anterior chest and abdominal wall defects, and planning the skin coverage over the resulting defect are discussed.
本文报告一例前胸及腹壁硬纤维瘤病例。切除了整个胸骨体以及上腹壁和双侧乳房内部。用大网膜和聚四氟乙烯网片修复心包和腹部的缺损。双侧胸腹带蒂皮瓣覆盖大面积皮肤缺损。术后1周，患者胸壁稳定，呼吸功能未受影响。硬纤维瘤局部复发的预防需要广泛切除受累的软组织和骨性结构。本文讨论了软组织肿瘤广泛切除、前胸和腹壁缺损修复以及修复后缺损皮肤覆盖规划的原则。
