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孤立性浆细胞瘤的胸骨肿瘤切除及复杂胸壁重建:1例罕见病例报告

Sternal Tumor Resection and Complex Chest Wall Reconstruction of a Solitary Plasmacytoma: A Report of a Rare Case.

作者信息

Alexieva Magdalena, Gergov Georgi, Mekov Evgeni V, Ivanova Silvia, Petkov Rosen E, Yankov Georgi

机构信息

Department of Thoracic Surgery, University Hospital "St. Ivan Rilski", Medical University of Sofia, Sofia, BGR.

Department of Pulmonary Diseases, University Hospital "St. Ivan Rilski", Medical University of Sofia, Sofia, BGR.

出版信息

Cureus. 2025 Aug 4;17(8):e89342. doi: 10.7759/cureus.89342. eCollection 2025 Aug.

DOI:10.7759/cureus.89342
PMID:40918783
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12409764/
Abstract

Localized sternal plasmacytoma is a rare and aggressive oncologic condition. Surgical resection followed by radiotherapy offers the highest chance of cure. Radical resection of the chest wall is technically feasible and is associated with improved outcomes. Subsequent reconstruction using meshes, plates, and both autologous and allogenic tissues allows for the restoration of chest wall function and may prolong survival. Patients with solitary plasmacytoma require close follow-up to monitor for local recurrence or distant disease progression. We present a case of a 63-year-old man diagnosed with a differentiated plasmacytoma of the manubrium. Successful resection and anterior chest wall reconstruction were performed.

摘要

局限性胸骨浆细胞瘤是一种罕见且侵袭性的肿瘤疾病。手术切除后进行放疗提供了最高的治愈机会。胸壁根治性切除在技术上是可行的,且与改善预后相关。随后使用网片、钢板以及自体和异体组织进行重建可恢复胸壁功能,并可能延长生存期。孤立性浆细胞瘤患者需要密切随访以监测局部复发或远处疾病进展。我们报告一例63岁男性被诊断为胸骨柄分化型浆细胞瘤的病例。成功进行了切除和前胸壁重建。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/b79d27a87236/cureus-0017-00000089342-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/df57b8f2290a/cureus-0017-00000089342-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/c89e5420bf3f/cureus-0017-00000089342-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/ff5988b1c85f/cureus-0017-00000089342-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/de0c487769d9/cureus-0017-00000089342-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/b75ae7b783d2/cureus-0017-00000089342-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/af665314a708/cureus-0017-00000089342-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/8bc4af82f76c/cureus-0017-00000089342-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/b79d27a87236/cureus-0017-00000089342-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/df57b8f2290a/cureus-0017-00000089342-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/c89e5420bf3f/cureus-0017-00000089342-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/ff5988b1c85f/cureus-0017-00000089342-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/de0c487769d9/cureus-0017-00000089342-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/b75ae7b783d2/cureus-0017-00000089342-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/af665314a708/cureus-0017-00000089342-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/8bc4af82f76c/cureus-0017-00000089342-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6b67/12409764/b79d27a87236/cureus-0017-00000089342-i08.jpg

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本文引用的文献

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Sternal resection and reconstruction: a review.胸骨切除与重建:综述
J Thorac Dis. 2024 Jan 30;16(1):708-721. doi: 10.21037/jtd-23-450. Epub 2024 Jan 9.
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Chemotherapy in solitary bone plasmacytoma to prevent evolution to multiple myeloma.孤立性骨浆细胞瘤的化疗以预防其演变为多发性骨髓瘤。
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A Rare Case of Solitary Plasmacytoma Arising From the Sternum.一例罕见的起源于胸骨的孤立性浆细胞瘤
Cureus. 2022 Apr 4;14(4):e23819. doi: 10.7759/cureus.23819. eCollection 2022 Apr.
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