Completion pneumonectomy via sternotomy and complete intrathoracic liver migration in metastatic osteosarcoma
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Kirk, Frazer
Fuller, Robert
Provenzano, Sylvio
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Abstract
Pulmonary metastasectomy is the well-accepted surgical management for recurrent osteosarcoma in the lung. A pneumonectomy is seldom performed, even more so via a sternotomy. We report an unusual case of a pneumonectomy via median sternotomy for a pulmonary metastasis with complete migration of the liver into the intrathoracic space, a complication rarely observed. The patient remains disease-free on follow-up, 21 years following the initial diagnosis. Aggressive approaches for metastasectomy, despite clinician hesitation in the age of minimally invasive surgery, can yield excellent outcomes for a cancer with otherwise poor prognosis.
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Journal of Surgical Case Reports
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2023
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10
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© The Author(s) 2023. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
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Gastroenterology and hepatology
Oncology and carcinogenesis
Clinical sciences
osteosarcoma
post-pneumonectomy syndrome
sternotomy
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Chang, S; Kirk, F; Fuller, R; Provenzano, S, Completion pneumonectomy via sternotomy and complete intrathoracic liver migration in metastatic osteosarcoma, Journal of Surgical Case Reports, 2023, 2023 (10), pp. rjad552