イチキ　ヨシノブ   ICHIKI Yoshinobu   市来　嘉伸    所属   埼玉医科大学  医学部 国際医療センター　呼吸器外科    職種   専任講師
論文種別	学術雑誌(原著)
言語種別	日本語
査読の有無	査読なし
表題	[Chest wall reconstruction with rectus abdominis musculocutaneous flap for sternum osteomyelitis after radiation].
掲載誌名	正式名：Kyobu geka. The Japanese journal of thoracic surgery ISSNコード：00215252
巻・号・頁	65(3),209-12頁
著者・共著者	Yasuhiro Chikaishi,Naohiro Nose,Yoshinobu Ichiki,Manabu Yasuda,Akira Nagashima
発行年月	2012/03
概要	We report a case of reconstruction of radiation ulcer on the chest wall and sternum osteomyelitis using a rectus abdominis musculocutaneous flap. A case of 67-year-old woman, Halsted operation was performed for right breast cancer, 23 years ago. After 4 years, transcatheter arterial injection and radiation therapy was performed to treat recurrence of parasternal lymph nodes. Since then, she had been without recurrence of the tumor, but suffered from repeated scabbing of parasternal skin. In 2009, she suffered from pain, redness and purulent discharge of the wound, and diagnosed with sternum osteomyelitis. She was admitted to our hospital and underwent debridement of sternum, and the resection of surrounding skin. Sixteen days later, reconstruction using a rectus abdominis musculocutaneous flap was performed. Twenty months after the operation, she is well without any evidence of recurrence.
PMID	22374596