胸骨动脉瘤样骨囊肿切除术后应用冷冻保存的同种异体胸骨重建胸壁

Sheikhy Kambiz, Abbasi Dezfouli Azizollah, Sadegh Beigee Farahnaz

Department of Thoracic Surgery, Lung Transplant Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Masih Daneshvari Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Case Rep Surg. 2017;2017:9135657. doi: 10.1155/2017/9135657. Epub 2017 Feb 19.

A 20-year-old female was referred to our hospital due to deformity and bulging in anterior aspect of chest wall in sternal area. Chest X-ray and CT scan confirmed a large mass with destruction of sternum. Pathologic diagnosis after incisional biopsy was compatible with aneurysmal bone cyst. We resected sternum completely and reconstructed large anterior defect by a cryopreserved sternal allograft. In follow-up of patient there was no unstability of chest wall with good cosmetic result.

一名20岁女性因胸骨区胸壁前部畸形和隆起被转诊至我院。胸部X线和CT扫描证实有一个巨大肿块，伴有胸骨破坏。切开活检后的病理诊断与动脉瘤样骨囊肿相符。我们完全切除了胸骨，并采用冷冻保存的同种异体胸骨移植重建了巨大的前部缺损。在对患者的随访中，胸壁没有出现不稳定情况，美容效果良好。