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

INTRODUCTION: The 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...

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Autores principales: Suganuma, Nobuyasu, Wada, Nobuyuki, Arai, Hiromasa, Nakayama, Hirotaka, Fujii, Keita, Masudo, Katsuhiko, Yukawa, Norio, Rino, Yasushi, Masuda, Munetaka, Imada, Toshio
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2009
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726531/
https://www.ncbi.nlm.nih.gov/pubmed/19830154
http://dx.doi.org/10.4076/1752-1947-3-7259
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author Suganuma, Nobuyasu
Wada, Nobuyuki
Arai, Hiromasa
Nakayama, Hirotaka
Fujii, Keita
Masudo, Katsuhiko
Yukawa, Norio
Rino, Yasushi
Masuda, Munetaka
Imada, Toshio
author_facet Suganuma, Nobuyasu
Wada, Nobuyuki
Arai, Hiromasa
Nakayama, Hirotaka
Fujii, Keita
Masudo, Katsuhiko
Yukawa, Norio
Rino, Yasushi
Masuda, Munetaka
Imada, Toshio
author_sort Suganuma, Nobuyasu
collection PubMed
description INTRODUCTION: The 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 PRESENTATION: A 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. CONCLUSION: Reconstruction 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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spelling pubmed-27265312009-10-14 Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report Suganuma, Nobuyasu Wada, Nobuyuki Arai, Hiromasa Nakayama, Hirotaka Fujii, Keita Masudo, Katsuhiko Yukawa, Norio Rino, Yasushi Masuda, Munetaka Imada, Toshio J Med Case Reports Case report INTRODUCTION: The 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 PRESENTATION: A 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. CONCLUSION: Reconstruction 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. BioMed Central 2009-06-08 /pmc/articles/PMC2726531/ /pubmed/19830154 http://dx.doi.org/10.4076/1752-1947-3-7259 Text en Copyright ©2009 licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case report
Suganuma, Nobuyasu
Wada, Nobuyuki
Arai, Hiromasa
Nakayama, Hirotaka
Fujii, Keita
Masudo, Katsuhiko
Yukawa, Norio
Rino, Yasushi
Masuda, Munetaka
Imada, Toshio
Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title_full Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title_fullStr Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title_full_unstemmed Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title_short Chest wall resection and reconstruction using titanium micromesh covered with Marlex mesh for metastatic follicular thyroid carcinoma: a case report
title_sort chest wall resection and reconstruction using titanium micromesh covered with marlex mesh for metastatic follicular thyroid carcinoma: a case report
topic Case report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2726531/
https://www.ncbi.nlm.nih.gov/pubmed/19830154
http://dx.doi.org/10.4076/1752-1947-3-7259
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