Abstract
Chest wall tumors have long presented challenging clinical entities for surgeons. We report a case with breast carcinoma with free tumor nodules on midline sternotomy incision that underwent coronary by-pass operation 11 months ago. Sternal resection couldn’t be performed due to the cardiopulmonary instability of the patient. Because of our case we think that it is very important to examine patients’ breast before cardiovascular surgery for the prevention of regional implantation and transportation of tumour cells while instrumentation. When this condition occurred it is difficult to perform wide resection of the chest wall due to the frequency of intra- and postoperative cardiovasculary complications.
References
- 1. Incarbone M, Pastorino U. Surgical treatment of chest wall tumors.World J Surg.2001;25:218-30
- 2. Kwai AH, Stomper PC, Kaplan WD , Clinical significance of isolated scintigraphic sternal lesions in patients with breast cancer.J Nucl Med 1988:29:324-328
- 3. Mende U, Huober J, Schmid H, et al.Metastazis to the sternum or parasternal recurrence of breast carcinoma?Value of so-nography.Radiologe. 1996;36:22-30
- 4. Carbognani P, Vagliasindi A, Costa P, et al. Rusça M.Surgical treatment of primary and metastatic sternal tumors.J Cardiovasc Surg.2001;42:411-4
- 5. Incarbona M, Nava M, Lequagile C, et al. Sternal resection for primary of secondary tumors.J Thorac Cardiovasc Surg.1997;114:93-9
- 6. Uschinsky K, Kruger M, Hassler K, et al. Thoracic surgery relevant indications for adjuvant and/or Palliative measures in breast carcinoma.Zentrabl Chir. 1998; 123 Suppl 5:122
Abstract
Göğüs duvarı tümörleri cerrahlar açısından zorlu bir antite olagelmiştir. Bizler 11 ay önce koroner by-pass operasyonu geçirmiş ve sternotomi insizyon hattı ve sutur materyali geçiş lokali-zasyonunda serbest tümör nodulleri bulunan meme kanserli bir olguyu sunuyoruz. Hastanın kar-diyopulmoner instabilitesi nedeniyle toraks duvarına yönelik geniş eksizyon uygulanamamıştır. Olgumuz ışığında kardiovasküler girişim öncesi meme muayenesinin operasyon ve enstruman-tasyon aşamasında olası meme tümörlerinin lokal yayılımını engellemede önemli olduğu görüşündeyiz. Zira olası bir lokal yayılım durumunda toraks duvarına yönelik geniş rezeksiyon uygulama seçeneği kardiopulmoner komplikasyon sıklığının artması dolayısıyla kısıtlanabilmektedir.
Haluk Ulucanlar
Ahmet Ay
Aybala Ağaç
Suat Kutun
Eda Yılmaz Akçay
Adnan Hasanoğlu
Abdullah Çetin
References
- 1. Incarbone M, Pastorino U. Surgical treatment of chest wall tumors.World J Surg.2001;25:218-30
- 2. Kwai AH, Stomper PC, Kaplan WD , Clinical significance of isolated scintigraphic sternal lesions in patients with breast cancer.J Nucl Med 1988:29:324-328
- 3. Mende U, Huober J, Schmid H, et al.Metastazis to the sternum or parasternal recurrence of breast carcinoma?Value of so-nography.Radiologe. 1996;36:22-30
- 4. Carbognani P, Vagliasindi A, Costa P, et al. Rusça M.Surgical treatment of primary and metastatic sternal tumors.J Cardiovasc Surg.2001;42:411-4
- 5. Incarbona M, Nava M, Lequagile C, et al. Sternal resection for primary of secondary tumors.J Thorac Cardiovasc Surg.1997;114:93-9
- 6. Uschinsky K, Kruger M, Hassler K, et al. Thoracic surgery relevant indications for adjuvant and/or Palliative measures in breast carcinoma.Zentrabl Chir. 1998; 123 Suppl 5:122
Details
| Primary Language | Turkish |
|---|---|
| Subjects | General Surgery |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | March 21, 2010 |
| Published in Issue | Year 2010 Volume: 4 Issue: 1 |
