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KMID : 0364019970300030348
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Korean Journal of Thoracic and Cardiovascular Surgery
1997 Volume.30 No. 3 p.348 ~ p.352
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Tuberculous Mediastinitis Developed After Surgical Treatment of Giant Chondrosarcoma on Chest Wall -one case report-
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이재훈
양수호/김혁/정원상/김영학/이철범/강정호/지행옥
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Abstract
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A 48 year old man, has been suffering from a growing chondrosarcoma of sternum which has deeply invading the anterior mediastinum. He underwent wide resection the chest wall tumor including a 4 cm free margin of normal tissue on all portions. The
tumor
was 15×16×10cm in size arising from sternum and include both proximal one third of the clavicle and the 1st, 2nd, and 3 rd costal cartilages.
The resected skeletal defect in the anterior wall was very large after wide resection of the tumor and reconstructed due to paradoxical chest wall movement with sandwich like method of double over lapping Marlex mesh and methylmethacreylate, and
steel
wires. The soft tissue reconstructive procedure was done with myocutaneous flap transposition use of pectoralis muscle.
But the patient go infected with tuberculosis in the mediastinum two months after the operation. We had removed all of previously inserted prosthetics and performed curettage and drainage.
Recently we experienced a case with giant chondrosarcoma of the sternum associated with tuberculous mediastinitis. The patient had an uneventful postoperative course and was discharged with adjuvant treatment such as antituberculous medication
for
1
year.
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