Journal
PEDIATRIC BLOOD & CANCER
Volume 52, Issue 5, Pages 679-681Publisher
WILEY-LISS
DOI: 10.1002/pbc.21848
Keywords
Askin tumor; chest wall reconstruction; Ewing sarcoma; latissimus dorsi muscle flap; PNET reconstruction; VEPTR
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Primary rib involvement accounts for 16%, of paediatric Ewing sarcoma (ES). Neo-adjuvant chemotherapy and surgical tumor resection may leave large thoracic wall defects requiring complex reconstruction in a growing individual. We report our experience in three children aged 3, 10, and 12 years, in whom single-stage resection and reconstruction were performed using a Gore-Tex Dualmesh patch, covered by a latissimus dorsi rotation flap harvested in continuity with the thoracolumbar facscia. The youngest patient also had a vertical expandable prosthetic titanium rib (VEPTR) anchored to help prevent subsequent scoliosis throughout growth. Pediatr Blood Cancer 2009;52:679-681. (C) 2009 Wiley-Liss, Inc.
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