Open AccessA clinical case of stepwise correction of the chest wall complications after combined treatment for breast cancer
Author(s) -
Е. А. Корымасов,
М. А. Медведчиков-Ардия,
Ali Benian
Publication year - 2020
Publication title -
alʹmanah kliničeskoj mediciny
Language(s) - English
Resource type - Journals
eISSN - 2587-9294
pISSN - 2072-0505
DOI - 10.18786/6/2072-0505-2019-47-076
Subject(s) - medicine , surgery , breast cancer , osteomyelitis , radiation therapy , stage (stratigraphy) , mastectomy , thoracic wall , complication , sternum , debridement (dental) , cancer , paleontology , biology
Radiation-induced sternal osteomyelitis as a complication of combined therapy for breast cancer is quite rare. As a rule, these patients are treated not by oncologists, but by thoracic and general surgeons. We present a clinical case report of successful treatment of chronic radiation-induced sternal osteomyelitis in a 52-yearold woman, who developed it at 2 years after radical mastectomy for breast cancer. The patient recovered after long-term, stepwise treatment including surgical procedures. The infectious process was stopped by wound debridement and vacuum-assisted dressings. The reconstruction stage included the use of a flap from m. pectoralis major . Treatment of radiation-induced sternal osteomyelitis fits to a widely accepted algorithm of surgical care for patients with anterior thoracic wall infections; however, at each step of care the surgeon can come across difficulties related to the pathological effects of the ionizing radiation.