Surgical management of a XXXX : a case report.

@entity1 @entity5 @entity730 @entity690 @entity702 @entity717 @entity81
BACKGROUND: A primary @entity81 ( @entity81 ) arising from sternum is quite uncommon @entity5 in thoracic surgery. @entity5 requires extensive resection of the anterior chest wall, and results in @entity717 . CASE PRESENTATION: A 40-year-old  female presented a progressively enlarging mass of her anterior chest wall. Computed tomography revealed an @entity690 with discrete @entity730 in the bone marrow of the sternum. The @entity5 extended across the destroyed cortex to the parietal and visceral soft aspects, involving some of the costal cartilage and most of the sternal body. Partial sternal resection was performed successfully and an individual-specific stainless steel plate was used to reconstruct the anterior chest wall. The early result was good, however, nine months after the first surgery, fractures of plate were found at bilateral plate-clavicular junction. The plate had to be removed, and a @entity702 mesh was used to reconstruction of the chest wall. The @entity1 has been of disease free for more than 18  month after the second surgery. CONCLUSIONS: Our experience indicated that the individual-specific plate may not be suitable for reconstructing both the anterior chest wall as well as the sternoclavicular joint after subtotal sternum resection.
