Reconstruction of the left diaphragmic cupola using titanium nickelide metallic knitted mesh after combination resection due to leiomyosarcoma

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Abstract

Leiomyosarcoma of the diaphragm is an extremely rare disease. No more than 20 cases have been described so far. All patients needed reconstruction of the dome of the diaphragm, including with the use of implants. The article presents a clinical case of treatment of a 40-year-old woman with giant leiomyosarcoma of the left diaphragmic cupola.The extirpation of the tumor as a single block with the diaphragm and the pericardial wall was performed, followed by the restoration of the abdominal obstruction with nickel-titanium metal knitwear.

About the authors

E. B. Topolnitskiy

Siberian State Medical University, Ministry of Health of Russia; Tomsk Regional Clinical Hospital; National Research Tomsk State Universitу

ORCID iD: 0000-0002-5674-0177

2 Moskovskij Tract, Tomsk 634050

96 Ivan Chernykh St., Tomsk 634069

36 Leninskij prospekt, Tomsk 634050

Russian Federation

N. A. Shefer

Siberian State Medical University, Ministry of Health of Russia; Tomsk Regional Clinical Hospital

Author for correspondence.
Email: NAschefer@yandex.ru
ORCID iD: 0000-0002-0011-8370

Nikolay Anatolyevich Shefer

2 Moskovskij Tract, Tomsk 634050

96 Ivan Chernykh St., Tomsk 634069

Russian Federation

A. N. Yunusov

Tomsk Regional Clinical Hospital

ORCID iD: 0009-0008-5889-1789

96 Ivan Chernykh St., Tomsk 634069

Russian Federation

E. S. Marchenko

National Research Tomsk State Universitу

ORCID iD: 0000-0003-4615-5270

36 Leninskij prospekt, Tomsk 634050

Russian Federation

References

  1. Serrano C., George S. Leiomyosarcoma. Hematol Oncol Clin North Am 2013;27(5):957–74. doi: 10.1016/j.hoc.2013.07.002
  2. Devaud N., Vornicova O., Abdul Razak A.R. et al. Leiomyosarcoma: current clinical management and future horizons. Surg Oncol Clin N Am 2022;31(3):527–46. doi: 10.1016/j.soc.2022.03.011
  3. Gafton G.I., Shchukin V.V., Sinyachkin M.S. Leiomyosarcoma of soft tissues. Clinical characteristics and results of treatment. Voprosy onkologii = Issues of Oncology 2016;62(4):439–41. (In Russ.).
  4. Yankol Y., Mecit N., Kanmaz T. et al. Leiomyosarcoma of the retrohepatic vena cava: Report of a case treated with resection and reconstruction with polytetrafluoroethylene vascular graft. Ulus Cerrahi Derg 2015;31(3):162–5. doi: 10.5152/UCD.2015.2882
  5. Kannan S., Chong H.H., Chew B. et al. Leiomyosarcoma in the extremities and trunk wall: systematic review and meta-analysis of the oncological outcomes. World J Surg Oncol 2022;20(1):124. doi: 10.1186/s12957-022-02584-4
  6. Novozhilova E.N., Padalyuk V.I., Kononets P.V. et al. Leiomyosarcoma of the esophagus. Sibirskij onkologicheskij zhurnal = Siberian Journal of Oncology 2020;19(1):126–33. (In Russ.). doi: 10.21294/1814-4861-2020-19-1-126-133
  7. Formigosa L.A.C., Dos Santos L.F., Martins J.D.N. et al. Management of primary cardiac leiomyosarcoma. Ecancermedicalscience 2023;15(17):1562. doi: 10.3332/ecancer.2023.1562
  8. Belaabidia B., Sellami S., Benelkhayat R. et al. Léiomyosarcoma of the diaphragm: a case report and review of the literature. Cancer Radiother 2006;10(3):137–41. doi: 10.1016/j.canrad.2005.10.010
  9. Strauch J.T., Aleksic I., Schorn B. et al. Leiomyosarcoma of the diaphragm. Ann Thorac Surg 1999;67(4):1154–5. doi: 10.1016/s0003-4975(99)00128-9
  10. Topolnitsky E.B., Dambaev G.Ts., Shefer N.A. et al. Replacement of post-resection defects of the pericardium, diaphragm, and chest wall with a titanium nickelide mesh implant. Voprosy rekonstruktivnoj i plasticheskoj hirurgii = Questions of Reconstructive and Plastic Surgery 2012;15(1):14–21. (In Russ.).
  11. Topolnitsky E.B., Dambaev G.Ts., Khodorenko V.N. et al. Tissue response to a titanium nickelide mesh implant after replacement of postresection defects in the anatomical structures of the chest. Byulleten' eksperimental'noj biologii i mediciny = Bulletin of Experimental Biology and Medicine 2012;153(3):366–70. (In Russ.).
  12. Topolnitsky E.B., Shefer N.A., Marchenko E.S. et al. Video-assisted thoracoscopic correction of post-traumatic diaphragmatic hernia 62 years after injury to the abdominal obstruction. Khirurgiya. Zhurnal im. N.I. Pirogova = Pirogov Russian Journal of Surgery 2022;2:62–6. (In Russ.). doi: 10.17116/hirurgia202202162
  13. Dambaev G.Ts., Topolnitsky E.B., Gunter V.E. Shape memory implants in thoracic surgery. Tomsk: Scientific and production enterprise “MITZ”, 2016. (In Russ.).
  14. Yasenchuk Y.F., Marchenko E.S., Gunter S.V. et al. Softening Effects in Biological Tissues and NiTi Knitwear during Cyclic Loading. Materials (Basel) 2021;14(21):6256. doi: 10.3390/ma14216256
  15. Topolnitsky E.B., Shefer N.A., Marchenko E.S. et al. Features of the integration of two-layer metal knitwear from titanium nickelide in the replacement of a thoracoabdominal defect in the experiment. Acta Biomedica Scientifica (East Siberian Biomedical Journal) 2023;8(2):244–53. (In Russ.). doi: 10.29413/ABS.2023-8.2.24

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Copyright (c) 2023 Topolnitskiy E.B., Shefer N.A., Yunusov A.N., Marchenko E.S.

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