Completion pneumonectomy via sternotomy and complete intrathoracic liver migration in metastatic osteosarcoma

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...

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Published in:Journal of surgical case reports 2023-10, Vol.2023 (10)
Main Authors: Chang, Shantel, Kirk, Frazer, Fuller, Robert, Provenzano, Sylvio
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Kirk, Frazer
Fuller, Robert
Provenzano, Sylvio
description 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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title Completion pneumonectomy via sternotomy and complete intrathoracic liver migration in metastatic osteosarcoma
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