Wide Composite Resection of Sternal Metastasis & Reconstruction Using Titanium Mesh Implant and Myocutaneous Flap in Differentiated Thyroid Carcinoma: Case Report of Two Cases.

分化型甲状腺癌用钛网植入物和肌皮瓣广泛复合切除胸骨转移和重建 ： 2 例病例报告。

• 发表时间: 2024 Feb
• 来源期刊: Indian J Otolaryngol Head Neck Surg
• DOI: 10.1007/s12070-023-04326-8
• PMID: 38440601
• 文章类型: Journal Article
• 作者列表: Rojesara M,Sattavan S,Sharma M,Rathod P,Puj K,Pandya S,Bande V,Pawar A,Ghosh N,Bhat S S,Kumar M S

关键词: Differentiated thyroid carcinoma; Mesh; Myocutaneous flap; Sternal metastases

Abstract

Differentiated Thyroid carcinoma (DTC) with distant skeletal metastases is associated with a very poor prognosis and are unfortunately resistant to radioiodine therapy (RIT). Surgical removal of the metastases in such selected cases is a beneficial adjunct to RIT. We report two cases of DTC with sternal metastases whom we successfully managed with surgical resection of the sternal lesion with reconstruction of the chest wall defect using titanium mesh implant and myocutaneous flap.

摘要

伴有远处骨骼转移的分化型甲状腺癌（DTC）预后极差，不幸的是对放射性碘治疗（RIT）有抵抗力。在这种选定的情况下，手术切除转移是RIT的有益辅助手段。我们报告了2例DTC伴胸骨转移的病例，我们成功地通过手术切除胸骨病变并使用钛网植入物和肌皮瓣重建胸壁缺损来成功治疗。