人工膜を用いて胸壁再建を行った小児胸壁原発腫瘍の2例

概要

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Reconstruction of chest wall defect after surgery is necessary to prevent the flail chest. We report herein two cases of chest wall tumor repaired with prosthetic materials. A two-year-old boy had left chest wall tumor resected with the 8th, 9th and 10th ribs (Case 1). The 4×8cm defect was covered with Dura mater (Lyodura). Pathological diagnosis of this tumor was eosinophilic granuloma. Another case was a three-month-old boy. He had left chest wall tumor, (Case 2). As tumor size was very huge, chemotherapy and radiotherapy were initiated The tumor, however, kept progressing and extirpation was undergone at the age of seven months. As the tumor invaded the 6th, 7th and 8th ribs, it was resected as en bloc with the ribs. The size of defect was 8.5×13cm and the defect was repaired with Gore-tex sheet. Gore-tex sheet had to be taken off because of wound infection on the 6th postoperative day. Pathological examination revealed this tumor as the benign mesenchymoma. Flail chest was not found in both two cases.
千葉大学の論文
1991-04-01