A clinical case of stepwise correction of the chest wall complications after combined treatment for breast cancer

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Abstract

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.

About the authors

E. A. Korymasov

Samara Regional Clinical Hospital named after V.D. Seredavin;
Samara State Medical University

Author for correspondence.
Email: korymasov@mail.ru

Evgenii A. Korymasov – MD, PhD, Professor, Director, Head of the Chair of Surgery, Samara Regional Clinical Hospital named after V.D. Seredavin; Head of the Chair of Surgery, Institute of Professional Education, Samara State Medical University

159 Tashkentskaya ul., Samara, 443095; 89 Chapaevskaya ul., Samara, 443099, Russian Federation

Russian Federation

M. A. Medvedchikov-Ardiia

Samara Regional Clinical Hospital named after V.D. Seredavin;
Samara State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0002-8884-1677

Mikhail A. Medvedchikov-Ardiia – MD, PhD, Thoracic Surgeon, Department of Thoracic Surgery, Samara Regional Clinical Hospital named after V.D. Seredavin; Assistant, Chair of Surgery, Institute of Professional Education, Samara State Medical University

159 Tashkentskaya ul., Samara, 443095; 89 Chapaevskaya ul., Samara, 443099, Russian Federation

 
Russian Federation

A. S. Benian

Samara Regional Clinical Hospital named after V.D. Seredavin;
Samara State Medical University

Email: fake@neicon.ru
ORCID iD: 0000-0003-4371-7426

Armen S. Benian – MD, PhD, Head Physician, Samara Regional Clinical Hospital named after V.D. Seredavin; Associate Professor, Chair of Surgery, Samara State Medical University

159 Tashkentskaya ul., Samara, 443095; 89 Chapaevskaya ul., Samara, 443099, Russian Federation

Russian Federation

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Copyright (c) 2020 Korymasov E.A., Medvedchikov-Ardiia M.A., Benian A.S.

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