Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case reportReport as inadecuate




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Journal of Medical Case Reports

, 3:7259

First Online: 08 June 2009Received: 29 September 2008Accepted: 22 January 2009DOI: 10.4076-1752-1947-3-7259

Cite this article as: Suganuma, N., Wada, N., Arai, H. et al. J Med Case Reports 2009 3: 7259. doi:10.4076-1752-1947-3-7259

Abstract

IntroductionThe distant metastases from differentiated thyroid carcinomas are often untreatable. In particular, bone metastasis is significantly related to poor prognosis since radioactive iodine therapy is generally less effective. Therefore, surgical resection is considered one of the treatments for patients with bone metastases. We report chest wall resection and reconstruction using titanium micromesh covered with polypropylene mesh Marlex mesh for metastatic rib bones as a result of follicular thyroid carcinoma.

Case presentationA 51-year-old man was referred to our institution with a painful chest wall tumor. He presented with a 15 × 10 cm bony swelling on the left chest wall and multiple small lung nodules from follicular thyroid carcinoma. Completion total thyroidectomy, chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh were performed. There were no critical complications associated with surgical treatments and tumor pain disappeared during the postoperative period. Then, he received radioactive iodine therapy and the uptake of radioactive iodine was well observed in bilateral lung fields.

ConclusionReconstruction using titanium micromesh covered with Marlex mesh is possible for repairing the wide chest wall resection required for thyroid carcinoma metastasis. This technique would help to enhance treatment efficacy in the combination therapy of radioactive iodine and surgery in patients with large thyroid carcinoma metastasis in the chest wall.

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Author: Nobuyasu Suganuma - Nobuyuki Wada - Hiromasa Arai - Hirotaka Nakayama - Keita Fujii - Katsuhiko Masudo - Norio Yukawa - Yas

Source: https://link.springer.com/







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