Canyons and Volcanoes: The Effects of Radiation on the Chest Wall.

Bao, Thanh Huynh; Bains, Manjit S; Shahzad, Farooq; Allen, Robert J; Jones, David R; Rocco, Gaetano · Ann Thorac Surg · 2021

case_report · Level V

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Abstract

Tumors involving the sternum often require complete removal of the bony structure to achieve cure and prevent recurrence. The type and extent of reconstruction must be carefully selected. Full-thickness sternal defects often necessitate semirigid or rigid biocompatible prostheses and carefully transposed myocutaneous flaps. Superimposed infection on radiation-induced cancer or osteoradionecrosis involving the sternum is also observed, and optimal treatment relies on an experienced multidisciplinary team. This report describes the successful management of 2 cases of sternal involvement after radiation: a canyonlike lesion and a volcanolike lesion.

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