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Search Results: 1 - 10 of 2354 matches for " Chest Wall "
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Chest Wall Reconstruction with Precontoured Locking Plate Proof of Concept  [PDF]
Elmer Lodder, Maarten van der Elst
Journal of Cancer Therapy (JCT) , 2010, DOI: 10.4236/jct.2010.13021
Abstract: Complications after chest wall resection are common and are reported to occur in approximately 40% of patients. The most frequent complications are respiratory or wound complications. Restoring rib continuity after a resection is likely to prevent respiratory complications. However many patients remain painful after a reconstruction. This article describes a new technique using a titanium alloy precontoured locking plate and locking screws to reconstruct the chest wall after resection of the 7th rib on the left.
A Rare Case of a Giant Cavernous Lymphangioma of the Chest Wall in a Child  [PDF]
Seydou Togo, Moussa Abdoulaye Ouattara, Ibrahim Boubacar Maiga, Yunping Lu, Donghui Jin, Ibrahim Sangaré, Maiga Abdoul Aziz, Cheik Amed Sekou Touré, Ibrahim Coulibaly, Jaques Saye, Cheik Sadibou, Sékou Koumaré, Sadio Yéna, Djibril Sangaré
Open Journal of Respiratory Diseases (OJRD) , 2016, DOI: 10.4236/ojrd.2016.61001
Abstract: Cavernous lymphangioma of the chest wall is a very rare disease entity, and only a few cases have ever been documented in the literature. Cases of recurrent cavernous lymphangioma after surgical excision of a cystic lymphangioma on the same side of the chest wall are quite uncommon. We report a case of a 10-year-old girl, with a giant cavernous lymphangioma of the left lateral chest wall extending into the axilla, who had undergone surgical excision of a cystic lymphangioma 9 years earlier.
Lung Adenocarcinoma Presenting as a Bleeding Sternal Mass  [PDF]
Juan Carlos Trujillo-Reyes, Ramón Rami-Porta, Bienvenido Barreiro-López, Clarisa González-Mínguez, Lydia Canales Aliagad, Josep Belda-Sanchís
Open Journal of Thoracic Surgery (OJTS) , 2012, DOI: 10.4236/ojts.2012.22005
Abstract: A 53-year-old man with bleeding from a sternal mass associated with a toxic syndrome. Computed tomography (CT) revealed a destructive sternal mass, bilateral pleural effusion and an endobronchial lesion in the right middle lobe bronchus. Immunohistopathological study of an incisional biopsy confirmed metastasic lung adenocarcinoma.
Advances in the management of pectus deformities in children  [PDF]
Natalie Swergold, Prasanna Sridharan, Marios Loukas, Ronald S. Chamberlain
Open Journal of Pediatrics (OJPed) , 2013, DOI: 10.4236/ojped.2013.33038
Abstract:

Pectus excavatum (PE) and pectus carinatum (PC) are relatively common deformities involving the anterior chest wall, occurring in 1:1000 and 1:1500 live births, respectively. While the etiology remains an enigma, the association of pectus deformities with other skeletal abnormalities suggests that connective tissue disease may play a role in their pathogenesis. Clinical features of these deformities vary with severity, as determined by the Haller index and Backer ratio, but frequently include cardiac and respiratory abnormalities. Importantly, there exist profound psychosocial implications for children afflicted with these defofrmities, including but not limited to feelings of embarrassment and maladaptive social behaviors. These debilitating characteristics have prompted the development of novel medical and surgical corrective techniques. The correction of pectus deformities reduces the incidence of physiological complications secondary to chest wall malformation, while simultaneously improving body image and psychosocial development in the affected pediatric population. The Ravitch (open) and Nuss (minimally invasive) procedures remain the most frequently employed methods of pectus deformity repair, with no difference in overall complication rates, though individual complication rates vary with treatment. The Nuss procedure is associated with a higher rate of recurrence due to bar migration, hemothorax, and pneumothorax. Postoperative pain management is markedly more difficult in patients who have undergone Nuss repair. Patients undergoing the Ravitch procedure require less postoperative analgesia, but have longer operation times and a larger surgical scar. The cosmetic

results of the Nuss procedure and its minimally invasive nature make it preferable to the Ravitch repair. Newer treatment modalities, including the vacuum bell, magnetic mini-mover procedure (3MP), and dynamic compression bracing (DCB) appear promising, and may ultimately provide effective methods of noninvasive repair. However, these modalities suffer from a lack of extensive published evidence, and the limited number of studies currently published fail to adequately define their long-term effectiveness.

Titanium Rib Plate Technique for Huge Chest Wall Reconstruction  [PDF]
Yong Han Yoon
Surgical Science (SS) , 2011, DOI: 10.4236/ss.2011.26070
Abstract: Chest wall reconstruction after en-bloc tumor resection is very important to preserve functional mobility and to enhance the cosmetic effect. Because they are flexible and pliable, titanium plates are proposed to reconstruct the chest wall, even though such chest wall reconstruction has been performed in only a few cases worldwide. We present a case of a 49-year-old man with a chondrosarcoma arising from the left 1st rib, invading the manubrium, clavicle, 2nd and 3rd ribs, and the anterior segment of the left upper lobe. After wide resection, the chest wall was reconstructed using titanium rib plates and Marlex mesh- the Bovine pericardium sandwich type. The patient tolerated the pain well, and fourteen months after surgery, the chest wall was well preserved function mobility and improved pulmonary function test.
Histologic Types of Chest Wall Tumors—Nine Years’ Single Center Experience  [PDF]
Zohreh Mohammadtaheri, Atosa Dorudinia, Abolghasem Daneshvar, Pegah Akhavan Azar, Foruzan Mohammadi
Open Journal of Pathology (OJPathology) , 2014, DOI: 10.4236/ojpathology.2014.41003
Abstract:

Background: Chest wall tumors are rare and mostly malignant. More than half of the malignancies are primary and the remainder are metastatic. Many studies have reported that metastatic lesions occur with about the same frequency as primary tumor. We evaluate common histological types of chest wall tumors in a tertiary center for respiratory and thoracic diseases (National Research Institute of Tuberculosis and Lung Disease). Method: We performed a retrospective study of chest wall tumors at National Research Institute of Tuberculosis and Lung Disease (NRITLD) from April 2001 to March 2010. The pathology slides of patients were retrieved from the pathology archive of NRITLD and reviewed by two pathologists. The lesions were classified as primary or metastatic according to the relevant clinical data and imaging findings. Result: A total of 124 chest wall tumors were identified in patients with a mean age of 47.7 years (range 4-90 years). The male/female ratio was 2:1. The most commonly affected side was the right (42.7%). There were 105 malignant tumors (84.7%), out of which 49 (46.2%) were primary and 57 (53.8%) were metastatic in origin. The majority of the metastatic lesions were epithelial tumors (36/57) (63.1%). The metastatic origin was clear in 51 cases, mostly arising from the lungs (35.7%). The most common types of primary chest wall tumors were primitive neuroectodermal tumor (15/49, 30.6%), chondrosarcoma (7/49, 14.3%), and malignant fibrous histiocytoma, undifferentiated pleomorphic sarcoma (5/49, 10.2%). The most common benign tumor was lipoma (5/18, 35.7%). Conclusion: Most common tumors of chest wall in this study were malignant, mostly metastatic epithelial neoplasms.

Askin Tumor in Egyptian Patients; 5 Years Experience at the National Cancer Institute, Cairo University  [PDF]
Ahmed El Sayed Fathalla, Bahaa El Din Ahmed
Journal of Cancer Therapy (JCT) , 2016, DOI: 10.4236/jct.2016.73022
Abstract: Background: Askin tumor is a primitive neuroectodermal tumor of the Ewing sarcoma family arising from soft tissues of the chest wall. It is the commonest chest wall malignancy in children and adolescents. Its diagnosis is complex and management requires a multidisciplinary work including chemotherapy for systemic disease and radiation therapy to assist local control which is achieved through surgery with or without reconstruction. Objective: To analyze report and understand the clinicopathological features, results and outcome of this tumor with assessment of early and late postoperative complications following resection and chest wall reconstruction. Materials and Methods: This is a retrospective analysis of 30 cases with chest wall ES/PNET presented to the National Cancer Institute; Cairo University between January 2011 and December 2015. All patients’ records were revised for age, sex, clinical presentation, imaging, pathology, operative notes, different treatment modalities given, early and late postoperative complications following surgical resection or reconstruction, and outcome including overall survival (OS) and disease free survival (DFS). Results: Our cohort included 30 patients with chest wall ES. The median follow up period (n = 30) was 33.7 months (ranging from 3.7 to 69.3 months). The median OS was 54.2 months with cumulative OS at 60 months which was 45.6%. The median DFS was 27.9 months with cumulative DFS at 60 months which was 40.6%. All cases were below 18 years with a male predominance (n = 19). The commonest affected sites were ribs (n = 22, 73.3%), the scapula (n = 5, 16.6%), the clavicle (n = 2, 6.66%) and the sternum (n = 1, 3.33%). 23 patients (76.6%) were presented with localized disease, and 7 patients (23.4%) were metastatic from the start. All patients received neoadjuvant chemotherapy (4 cycles of VAC/IE) followed by local control: either surgery (26 cases, 86.6%) or radical radiotherapy (3 cases, 10%). A single case of a rib ES with initial bilateral lung deposited where no local control was done. After chest wall resection, closure of the defect was done by 1 ry closure with no reconstruction or double layer prolene mesh and bone cement that was covered by pedicled flap (latissimus dorsi, serratus anterior or pectoralis major muscle flap). Postoperative radiation therapy was given to 9 patients: 4 (13.3%) had postoperative poor chemotherapy effect (<90% tumor necrosis), 3 (10%)
Primary Chondrosarcoma of the Chest Wall— A Case Report  [PDF]
Cyriac George, D. Diallo, F. Velez-Cubian, J. Fontaine, M. Bui, T. Rose
Open Journal of Radiology (OJRad) , 2018, DOI: 10.4236/ojrad.2018.83017
Abstract: A 60-year-old Hispanic male presented to his primary care physician office with an asymptomatic, but palpable right anterior chest wall mass. Initial work up of the finding included a CT scan of the chest which revealed a non-calcified, solid right anterior chest wall mass with invasion of the anterior fifth rib and intercostal space. The patient was presented at multidisciplinary conference with the patient’s primary physician, a medical oncologist, radiologist, pathologist and oncologic surgeon in attendance. The decision was to perform surgical resection of the mass to treat this primary mesenchymal malignancy. The anterior aspect of the fifth rib and intercostal muscles were resected with negative margins. Pathology confirmed the mass to be a low-grade chondrosarcoma. Due to the low-grade nature, low metastatic potential and negative margins of the tumor, the decision was made not to pursue adjuvant chemotherapy or radiation therapy. The patient made full recovery.
Experience with Porcine Acellular Dermal Collagen Mesh (Permacol™ Surgical Implant) in Chest Wall Reconstruction after Resection for Rib Osteomyelitis  [PDF]
Claudia Hannele Mazzetti, Patrick Carlier, Alexis Therasse, Jean Lemaitre
Open Journal of Thoracic Surgery (OJTS) , 2015, DOI: 10.4236/ojts.2015.52006
Abstract: Chest wall reconstruction after rib resection is essential to ensuring chest wall stability, avoiding flail chest and pulmonary hernia, and improving pulmonary function. Traditionally, a synthetic mesh and a musculocutaneous flap have been used to bridge the chest wall defect. However, a risk of secondary prosthesis infection exists. Acellular dermal collagen mesh implants (Permacol) are indicated for the reconstruction and reformation of human soft connective tissue. A case of a complex chest wall reconstruction after rib resection for osteomyelitis due to staphylococcus aureus infection in a malnourished, immunosuppressed, and methadone-addicted patient is presented. The patient underwent a left posterolateral thoracotomy and chest wall resection, involving three ribs and the soft tissues overlying an infected cutaneous fistula. The chest wall was reconstructed using a 28 × 18 cm piece of porcine sterile acellular dermal collagen mesh. A successful chest wall repair was achieved with no incisional herniation and with complete mesh incorporation, allowing physiologic respiratory movements. A typical wound seroma developed and resorbed over the following months. There was no infection. In conclusion, this case report suggests that Permacol surgical implant can be used successfully as an alternative to synthetic mesh in reconstruction of an infected chest wall.
Actinomicose pulmonar com envolvimento da parede torácica
Fatureto, Marcelo Cunha;Oliveira, Paulo Fernando;Almeida, Cynthia Ottaiano R.;Fernandes, Lúcia Helena G.;
Revista da Sociedade Brasileira de Medicina Tropical , 2007, DOI: 10.1590/S0037-86822007000100018
Abstract: actinomycosis is an uncommon suppurative granulomatous chronic infection that may involve several organs. lung infection is usually related to immunodepression and poor oral hygiene. cases of thoracic involvement are rare (10 - 20%) and only 12% of such cases affect the chest wall. this report describes the case of a 26-year-old hiv-negative patient without comorbidities or respiratory complaints who presented a very painful, progressively growing infrascapular mass, with local phlogistic signs and no local trauma, and persistent fever. it had been progressing for three months. the initial diagnosis was neoplasia of chest wall soft tissue. however, incision biopsy in this mass produced a red wine-colored gelatinous secretion containing yellowish granules suggestive of actinomycosis, which was later confirmed by anatomopathological examination. ciprofloxacin was instituted empirically because of cephalosporin allergy. there was an excellent clinical response to external drainage and the prescribed medication. over the course of 18 months of follow-up, there was no disease recurrence.
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