2009 Volume 23 Issue 6 Pages 861-865
Case 1: A 79-year-old woman complained of chest pain of her anterior chest wall. Chest CT showed a tumor surrounding the sternum. Tumor biopsy revealed metastasis of ovarian cancer. Anterior chest wall resection including the mid-part of the sternal body and anterior parts of the bilateral second and third ribs was performed as well as partial resection of the right upper lobe, followed by chest wall reconstruction. Case 2: A 58-year-old man was referred to our hospital for the treatment of thoracic vertebral, sternal, and pelvic metastases of thyroid cancer. Surgical resection was chosen for the metastatic sternal tumor. Full thickness chest wall resection including resection of the manubrium of the sternum and partial resection of the bilateral clavicle and anterior part of the first and second ribs were performed, followed by chest wall reconstruction. In both cases, we used a titanium reconstruction plate and polypropylene mesh. Postoperative courses were uneventful, and flail chest was not observed. Reconstruction of the bony part of the anterior chest wall with the titanium reconstruction plate and polypropylene mesh was straightforward and effective for the resection area through selecting an adequately sized plate. This method provided sufficient rigidity as well as protection of the thoracic organs.