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J Thorac Cardiovasc Surg 2003;126:1212-1214
© 2003 The American Association for Thoracic Surgery
Brief communication |
a Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, Japan
Received for publication April 21, 2003; accepted for publication May 28, 2003.
* Address for reprints: Atsushi Watanabe, MD, Department of Thoracic and Cardiovascular Surgery, Sapporo Medical University School of Medicine, Sapporo, South 1, West 16, Chuo-ku, Sapporo 060-8543, Japan
atsushiw@sapmed.ac.jp
| The first 20% of the full text of this article appears below. |
The effectiveness of surgical resection for locally recurrent breast cancer invading the chest wall remains poorly defined.1-3 If structural stability is required, however, either autogenous tissue or prosthetic material can be used. Various materials for reconstruction of the anterior chest wall have been reported.4-6 We report the case of a 38-year-old woman who underwent resection and reconstruction of the anterior chest wall because of metastasis of carcinoma from the left breast to the sternum. We used a new material made from a ceramic prosthesis composed of a combination of hydroxyapatite and tricalcium phosphate. This is a review of a new material and method of reconstruction.
Clinical summary
A 38-year-old woman successfully treated with a left mastectomy for breast cancer in October 1990 had a local recurrence in the sternal manubrium in May 1995. Radiotherapy was performed with a total of 54 Gy delivered in 30 daily fractions of 1.8 Gy by using 6-MV photons. The NCC-ST 439 (Nippon Kayaku Co, Ltd, Tokyo, Japan) serum level recovered to a normal value, and magnetic resonance imaging showed that the abnormal mass in the sternum was eliminated. Thereafter, the patient returned to an active social life. Unfortunately, the NCC-ST 439 serum level increased, and magnetic resonance imaging revealed an abnormal mass in the
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