Thoracic Surgery Department, Hospital Pulido Valente, CHLN, Lisboa, Portugal.
Plastic and Reconstructive Surgery Unit, Hospital Fernando da Fonseca, Amadora, Portugal.
Port J Card Thorac Vasc Surg. 2021 Nov 7;28(3):53-55. doi: 10.48729/pjctvs.197.
Chest wall tumours are challenging subjects. In the present article we describe a case of a 51 year old female who developed an angiosarcoma eight years after radiotherapy treatment due to left breast cancer at age 41. She had resection of the anterior segments of the 3rd to 5thribs followed by chest wall reconstruction, using MatrixRib fixation system®, Marlex® mesh and latissimus dorsi muscle flap. After two years the angiosarcoma relapsed. Considering the predicted extent of the chest wall resection, a reconstruction using titanium plates was not an option, so we opted to shape neo-ribs of Methyl Methacrylate using rubber drains as a mold. It affords very good anatomical contour of the chest wall and more physiological function than other options, although only long-term follow-up and future studies will determine the performance of this method.
胸壁肿瘤是具有挑战性的课题。本文描述了 1 例 51 岁女性患者，在 41 岁时因左侧乳腺癌接受放射治疗 8 年后发生血管肉瘤。她接受了第 3 至 5 肋前节切除术，然后使用 MatrixRib 固定系统®、Marlex®网和背阔肌皮瓣进行胸壁重建。两年后，血管肉瘤复发。考虑到预计的胸壁切除范围，钛板重建不是一个选择，因此我们选择使用橡胶引流管作为模具来塑造甲基丙烯酸甲酯的新肋骨。它提供了非常好的胸廓解剖轮廓和比其他选择更好的生理功能，尽管只有长期随访和未来的研究才能确定这种方法的效果。
