Reconstruction of the chest wall after excision of a giant malignant peripheral nerve sheath tumor

Edaigbini, Sunday A; Delia, Ibrahim Z; Aminu, MB; Ibrahim, A; Samaila, Moa; Abdullahi, Kabir Ozigi; Liman, AA

doi:10.4103/1119-3077.104533

Cited by 3 publications

(2 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Patients usually get symptomatic with palpable mass or pain and both symptoms at the site of tumor. 2 7 8 Defects of the chest wall occur due to tumor ablation, radiation injury, infection, and trauma. 9 Chest wall may be reconstructed with musculocutaneous flaps, such as latissimus dorsi (LD) musculocutaneous flap or free flaps combined with the synthetic or autologous materials used to prevent pneumothorax and paradoxical chest wall motion.…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

2023

Arch Plast Surg

View full text Add to dashboard Cite

Background The chest wall defects can be caused by various reasons. In the case of malignant tumor resection of the chest wall, it is essential to reconstruct the chest wall to cover the vital tissue and restore the pulmonary function with prevention of paradoxical motion. With our experience, we analyzed and evaluated the results and complications of the chest wall reconstructions followed by malignant tumor resection. Methods From 2013 to 2022, we reviewed a medical record of patients who received chest reconstruction due to chest wall malignant tumor resection. The following data were retrieved: patients' demographic data, tumor type, type of operation, method of chest wall reconstruction of the soft and skeletal tissue and complications. Results There were seven males and six female patients. The causes of reconstruction were 12 primary tumors and one metastatic carcinoma. The pathological types were seven sarcomas, three invasive breast carcinoma, and three squamous cell carcinomas. The skeletal reconstruction was performed in six patients. The series of the flap were eight pedicled latissimus dorsi (LD) myocutaneous flaps, two pectoralis major myocutaneous flap, two vertical rectus abdominis myocutaneous free flap, and one LD free flap. Among all the cases, only one staged reconstruction and successful reconstruction without flail chest. Most of the complications were atelectasis. Conclusion In the case of accompanying multiple ribs and sternal defect, skeletal reconstruction would need skeletal reconstruction to prevent paradoxical chest wall motion. The flap for soft tissue defect be selected according to defect size and location of chest wall. With our experience, we recommend the reconstruction algorithm for chest wall defect due to malignant tumor resection.

show abstract

Section: Discussionmentioning

confidence: 99%

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

2023

Arch Plast Surg

View full text Add to dashboard Cite

show abstract

“…The risk of an MPNST is approximately 4,600 times higher in patients with type 1 neurofibromatosis (NF-1), with 3% to 13% of people with NF-1 developing a MPNST. 1 Clinically, a MPNST is known to be aggressive, locally invasive, and highly metastatic. The mainstay of treatment for a MPNST is a wide margin surgical excision.…”

mentioning

confidence: 99%

Combined Use of the Latissimus Dorsi Musculocutaneous Flap and the Anterolateral Thigh Flap to Reconstruct an Extensive Shoulder Defect in an NF-1 Patient

Miyamoto

Fujiki

Sakisaka

et al. 2016

Plastic and Reconstructive Surgery - Global Open

View full text Add to dashboard Cite

Summary:Soft tissue coverage after the resection of a large malignant peripheral neural sheath tumor (MPNST) is a challenge. We report the successful reconstruction of an extensive shoulder defect after MPNST resection in a patient with a type 1 neurofibromatosis with a novel combination of flaps. A 70-year-old man with type 1 neurofibromatosis presented with a recurrent MPNST on his right shoulder. He underwent a wide excision of the tumor, which resulted in a huge soft tissue defect around the shoulder joint. The resultant defect was reconstructed with a pedicled latissimus dorsi musculocutaneous flap and a free anterolateral thigh flap. The flaps survived, and the wounds healed uneventfully. His affected arm was useful. The combination of a pedicled latissimus dorsi musculocutaneous flap and a free anterolateral thigh flap is a versatile option for the reconstruction of an extensive shoulder defect.

show abstract

Primary malignant chest wall tumors: analysis of 40 patients

Bagheri

Haghi

Kalantari

et al. 2014

J Cardiothorac Surg

View full text Add to dashboard Cite

BackgroundPrimary chest wall tumors originate from different constructions of thoracic wall. We report our multidisciplinary experience on primary thoracic tumor resection and thoracic reconstruction, the need to additional therapy and evaluating prognostic factors affecting survival.MethodsWe performed a retrospective review of our prospectively maintained database of 40 patients treated for malignant primary chest wall tumor from 1989 to 2009. Patients were evaluated in terms of age, sex, clinical presentation, type of imaging, tissue diagnosis methods, pathology, surgical technique, early complications, hospital mortality, prevalence of recurrence and distant metastases, additional treatment, 3 years survival and factors affecting survival.ResultsMale/Female (F/M) = 1, with median age of 43.72 years. Mass was the most common symptoms and the soft tissue sarcoma was the most common pathology. Resection without reconstruction was performed in 5 patients and Thirty-five patients (87.5%) had extensive resection and reconstruction with rotatory muscular flap, prosthetic mesh and/or cement. Overall, 12.5% (5/40) of patients received neoadjuvant therapy and 75% (30/40) of patients were treated with adjuvant therapy. The 3-year survival rate was 65%. Recurrences occurred in 24 patients (60%), 14 developed local recurrences, and 10 developed distant metastases. The primary treatment modality for both local and distant recurrences was surgical resection; among them, 10 underwent repeated resection, 9 adjuvant therapy and 5 were treated with lung metastasectomy. The most common site of distant metastasis was lung (n = 7). Factors that affected survival were type of pathology and evidence of distant metastasis.ConclusionSurgery with wide margin is the safe and good technique for treatment of primary chest wall tumors with acceptable morbidity and mortality.

show abstract

Reconstruction of the chest wall after excision of a giant malignant peripheral nerve sheath tumor

Cited by 3 publications

References 7 publications

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

Analysis of the Chest Wall Reconstruction Methods after Malignant Tumor Resection

Combined Use of the Latissimus Dorsi Musculocutaneous Flap and the Anterolateral Thigh Flap to Reconstruct an Extensive Shoulder Defect in an NF-1 Patient

Primary malignant chest wall tumors: analysis of 40 patients

Contact Info

Product

Resources

About