Resection and reconstruction for primary sternal tumors

Thorac Surg Clin. 2010 Nov;20(4):529-34. doi: 10.1016/j.thorsurg.2010.06.002.

Abstract

Radical resection can offer a definitive cure of primary malignant sternal tumors, but the surgical management may be difficult because of the local aggressiveness of these tumors and a high recurrence rate. This article describes improvements in reconstruction techniques with musculocutaneous flaps that have made coverage of wide sternal defects reliable. A rigid reinforcement of the sternum can now be achieved with titanium bars and clips after a total sternectomy. Large sternal defects are safely reconstructed with a musculocutaneous flap. The completeness of the resection and the histologic grade of the tumors are the strongest survival predictors.

Publication types

  • Review

MeSH terms

  • Bone Neoplasms / diagnosis
  • Bone Neoplasms / pathology
  • Bone Neoplasms / surgery*
  • Humans
  • Manubrium / pathology
  • Manubrium / surgery
  • Plastic Surgery Procedures*
  • Sternum*
  • Surgical Flaps