Huge Chest Wall Tumour Resection and Reconstruction using Titanium Mesh

Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed i...

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Bibliographic Details
Published inThe Malaysian journal of medical sciences Vol. 22; no. 1; pp. 70 - 73
Main Authors Adli Azam, Mohammad Razi, Raja Amin, Raja Mokhtar
Format Journal Article
LanguageEnglish
Published Malaysia Universiti Sains Malaysia Press 01.01.2015
Penerbit Universiti Sains Malaysia
Subjects
Antibiotics
Biopsy
Breast cancer
Case Report
Defects
Mastectomy
Mechanics
Respiration
Tumors
reconstruction
chest wall
titanium
tumour
mesh
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Summary:Malignant chest wall tumour is rare. The presentation is usually aggressive that requires extensive resection to prevent recurrence. However, the extensive resection is to the expense of causing defect on the chest wall and hence, respiratory mechanics. Two cases of chest wall tumour are discussed including the surgical approach of radical tumour resection which was combined with placement of titanium mesh and Tranverse Rectus Abdominis Myocutaneus (TRAM) flap to cover the defect and preserve respiratory mechanical functions. The morbidity of using titanium mesh demonstrated in the case series were infection and injury to surrounding tissue due to its rigidity and large size which required its removal. However the formation of 'pseudopleura' made the thoracic cage return back as closed cavity even after the removal of the titanium mesh and allow normal respiratory functions.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
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ISSN:1394-195X
2180-4303