Solitary Sternal Metastases in a Patient with Nasopharyngeal Cancer Treated With Sternal Resection, Reconstruction with Polypropilen Mesh and Methylmetacrylate Mesh and Adjuvant Radiation Therapy

Öz

For nasopharyngeal cancers, sternal metastases are infrequently encountered. Advances in surgical techniques help sternal resection and reconstruction to be considered as a treatment option for sternal metastases. In this report, treatment of a patient with nasopharyngeal cancer and a solitary sternal metastases with sternal resection, reconstruction using polypropylene mesh and methylmethacrylate patch and adjuvant radiation therapy has been presented. Key words: Nasopharyngeal cancer, Sternum, Metastases, Resection, Reconstruction, Radiation Therapy

Anahtar Kelimeler

• Nasopharyngeal cancer, Sternum, Metastases, Resection, Reconstruction, Radiation Therapy

Soliter Sternum Metastazı Saptanan Nazofarenks Kanserli Bir Hastada Sternum Rezeksiyonu, Polipropilen Ağ ve Metilmetakrilat Yama Kullanılarak Rekonstrüksiyon ve Adjuvant Radyoterapi Uygulaması+

Öz

Nazofarenks kanserlerinin sternum metastazları oldukça nadir olarak görülmektedir. Cerrahi tekniklerde sağlanan gelişmeler, sternum rezeksiyonu ve rekonstrüksiyonunun sternum metastazlarında bir tedavi seçeneği olarak gündeme gelmesine yardımcı olmaktadır. Bu yazıda, soliter sternum metastazı saptanan nazofarenks kanserli bir hastada sternum rezeksiyonu, polipropilen ağ ve metilmetakrilat yama kullanılarak rekonstrüksiyon ve adjuvant radyoterapi uygulaması sunulmaktadır. Anahtar kelimeler: Nazofarenks kanseri, Sternum, Metastaz, Rezeksiyon, Rekonstrüksiyon, Radyoterapi

Anahtar Kelimeler

• Nazofarenks kanseri, Sternum, Metastaz, Rezeksiyon, Rekonstrüksiyon, Radyoterapi

Kaynakça

1. Soysal O, Walsh GL, Nesbitt JC, McMurtrey MJ, Roth JA, Putnam JB. Resection of sternal tumors: Extent, reconstruction, and survival. Ann Thorac Surg 1995; 60: 1353-9.
2. Teo PM, Kwan WH, Lee WY, Leung SF, Johnson PJ. Prognosticators determining survival subsequent to distant metastasis from nasopharyngeal carcinoma. Cancer 1996; 77: 2423-31.
3. Mansour KA, Anderson TM, Hester TR. Sternal resection and reconstruction. Ann Thorac Surg 1993; 55: 838-42.
4. Lequaglie C, Massone PB, Giudice G, Conti B. Gold standard for sternectomies and plastic reconstructions after resections for primary or secondary neoplasms. Ann Surg Oncol 2002; 9: 472-9.
5. Avital S, Cohen M, Skornik Y, Weiss J, Meller I, Shafir R. Solitary sternal breast cancer metastases treated by sternectomy and muscle flap reconstruction. Eur J Surg 2000; 166: 92-4.
6. Carbognani P, Vagliasindi A, Costa P, Pascarella L, Pazzini L, Bobbio A, Rusca M. Surgical treatment of primary and metastatic tumours. J Cardiovasc Surg 2001; 42: 411-4.