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7027485 
Journal Article 
Sternectomy and reconstruction for malignant disease 
Calvo, V; Morcillo, A; Paris, F; Ramos, G; Casillas, M; Tarrazona, V; , 
1997 
MONDUZZI EDITORE 
40128 BOLOGNA 
541-546 
WOS:A1997BJ47B00095 
This report reviews 35 patients submitted to sternectomy for malignancy. The series include 17 primary bone tumours, 8 primary soft tissues tumours and 10 recurrences or adjacent tumours involving the sternum. Total sternectomy was carried out in 10 patients, manubriectomy in 1, manubriectomy plus upper body in 11, total body resection in 5 and partial body in 8. Extended surgery was used in 11 patients. Chest wall repair was made in Group I with sylastic sheet and methyl-metacrylate (MMA) with stainless steel struts, Group II with MMA impregnating meshes and Group III with PTFE ''Goretex(R)'' patching covered by muscle flap. Group I had 3/9 late infections, Group II had 1/7 infections and Group III had 1/14. Mortality rate was 3/35. Five-years survival for primary tumours was 50%. Malignant sternal tumours are potentially curable with wide resection. Mie recommend sternal reconstruction using PTFE covered by muscle flap. 
Antypas, G; 
88-323-0701-4 
1st International Congress of Thorax Surgery 
ATHENS, GREECE