Kawana Shinichi, Yamamoto Hiromasa, Maki Yuho, Sugimoto Seiichiro, Toyooka Shinichi, Miyoshi Shinichiro
Department of Thoracic Surgery, Okayama University Hospital, Okayama 700-8558,Japan.
Acta Med Okayama. 2017 Jun;71(3):259-262. doi: 10.18926/AMO/55210.
Primary sternal chondrosarcoma is a rare malignant tumor that is refractory to chemotherapy and radiation. Effective therapy is radical resection of the tumor. We present two patients with primary sternal chondrosarcoma who underwent a radical resection of the lower half of the sternum and bilateral ribs, followed by reconstruction with 2 sheets of polypropylene mesh layered orthogonally. The patients have maintained almost the same pulmonary function as preoperative values, with stability of the chest wall. Although there are various ways to reconstruct the anterior chest wall, reconstruction with polypropylene mesh layered orthogonally is an easy-to-use and sufficient method.
原发性胸骨软骨肉瘤是一种罕见的恶性肿瘤，对化疗和放疗均不敏感。有效的治疗方法是肿瘤根治性切除术。我们报告了两名原发性胸骨软骨肉瘤患者，他们接受了胸骨下半部及双侧肋骨的根治性切除，随后用两片聚丙烯网片正交分层进行重建。患者的肺功能几乎维持在术前水平，胸壁稳定。尽管重建前胸壁有多种方法，但用聚丙烯网片正交分层重建是一种易于使用且足够的方法。
