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胸骨软骨肉瘤。采用胸大肌进行切除与重建。

Chondrosarcoma of the manubrium. Resection and reconstruction with pectoralis major muscle.

作者信息

Arnold P G, Pairolero P C

出版信息

Mayo Clin Proc. 1978 Jan;53(1):54-7.

PMID:625145
Abstract

Chondrosarcomas of the sternum are best treated by resection with tumor-free margins. Reconstruction of the manubrium and superior aspect of the sternum is one of the most difficult challenges for the reconstructive surgeon. In the past, most of the structural stability following resection of this area has depended on the formation of dense fibrous tissue and scar. We presented a case of reconstruction of the bony defect with autogenous bone grafting in conjunction with transposition of the pectoralis major muscle for increased protection and stability of the chest wall as well as for nourishment for the bone graft.

摘要

胸骨软骨肉瘤最好通过切除肿瘤并确保切缘无肿瘤组织来治疗。胸骨柄和胸骨上部的重建是重建外科医生面临的最具挑战性的难题之一。过去,该区域切除后的大部分结构稳定性依赖于致密纤维组织和瘢痕的形成。我们报告了一例采用自体骨移植结合胸大肌移位来重建骨缺损的病例,这样做是为了增强胸壁的保护和稳定性,同时为骨移植提供营养。

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