PMC9116248_01
Pre-operative photographs of the patient.
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An 18-year-old boy was evacuated from his home country (Guinea-Bissau) to Portugal because of a giant midline thoracic mass, that had been slowly growing for the last 9 years (Figure 1).
Preoperative CT scans.
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A CT scan was made which identified a 17 x 17 x 12 cm heterogeneous mass with signs of disperse calcification, arising from the body of the sternum (Figure 2).
Tumor after resection. Notice the base of the tumor to be slightly smaller than the superficial component.
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After surgical excision, a pericardial mesh was used to reconstruct the pericardium and the sternum prosthesis fixed to the remaining ribs (Figures 3 and 4).
Intraoperative views after tumor removal (left) and after sternal reconstruction with a StarPore  custom-made prostheses.
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After surgical excision, a pericardial mesh was used to reconstruct the pericardium and the sternum prosthesis fixed to the remaining ribs (Figures 3 and 4).
Intraoperative view with LD muscular free flap (left) and skin graft (right).
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The flap was inset to protect the entire thoracic prosthesis and the anastomosis made to the right internal mammary vessels (Figure 5). A partial thickness graft was used to cover the muscle (Figure 5).
Post-operative at 6 months.
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