Surgical treatment of retrosternal extraosseous Ewing Sarcoma in a 6-years old female: a clamshell approach with hemysternectomy and application of a non-crosslinked extracellular matrix

Autor: Luca Luzzi, Amalia Schiavetti, Giulia Varrasso, Francesco Molinaro, Piero Paladini, Anna Clerico, Chiara Pellegrino, Mario Messina, Leonardo Casini, Rossella Angotti
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 22, Iss C, Pp 9-13 (2017)
Popis: Background Ewing Sarcoma (ES) and Neuroblastoma (NB) belong to a family of tumours of primitive neuroectodermal origin (PNET) that occurs in both bone and soft tissue. Notwithstanding ES and NB are two distinct malignant tumours, sometimes there could be a link between them. Case report We describe a case of an extraosseous ES localized in the retrosternal region and the upper lobe of the right lung, which had been previously treated for NB in a 6 years old female. We treated this case with a clamshell approach which allows, in a one-step surgery, a complete excision of the mass reconstructing the hemysternectomy with a non-crosslinked matrix. Conclusion the clamshell approach is therefore useful to achieve the retrosternal space and the lung with a single surgical access. According to our experience, we consider appropriate to use a non-crosslinked matrix for sternal reconstruction.
Databáze: OpenAIRE