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CC BY 4.0 · European J Pediatr Surg Rep. 2022; 10(01): e1-e5
DOI: 10.1055/s-0041-1740328
Case Report

Porous Ceramic Sternal Prosthesis Implantation in a 13-Year-Old Patient Presenting with Metastatic Ewing's Sarcoma

Nicolas Mainard 
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
,
Dyuti Sharma
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
2   Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
,
Damien Fron
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
,
Aurélie Mezel
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
,
Federico Canavese
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
2   Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
,
Michel Bonnevalle
3   Department of Pediatric Surgery, Reference Center for Congenital and Malformative Esophageal Disorders, Jeanne de Flandre Children's Hospital, Lille University Faculty of Medicine, Lille, France
,
Eric Nectoux
1   Department of Pediatric Surgery, Jeanne de Flandre Hospital, Lille, France
2   Université Lille 2 Droit et Santé Faculté de Médecine Henri Warembourg, Lille, Hauts-de-France, France
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Abstract

Ewing's sarcoma is the second most frequent primary malignant bone tumor in adolescents and young adults. Locations on the thoracic wall represent up to 20% of primary and secondary locations. We present the case of a 13-year-old patient treated with the use of a radiolucency porous bioceramic prosthesis as a sternal replacement for a wide tumor resection in an oncologic context. Focal radiation therapy was not possible due to the high risk of severe myocardial injuries caused by the sternal location of the tumor. The sternum CERAMIL® (I.CERAM, Limoges, France), in porous alumina (Al2O3) has already been implanted into adults in sternal replacement during its invasion by a tumor or its infectious destruction. There were no complication concerning the surgery. The last follow-up at 2 years postoperatively reveals a satisfactory clinical situation with any functional thoracic complaint and nor any functional respiratory symptoms. The porous alumina sternal prosthesis offers a reliable alternative for sternal replacement indications for children in an oncologic context.

Keywords

Ewing's sarcoma - sternum - prosthesis - bioceramics - tissue engineering


Publication History

Received: 09 May 2021

Accepted: 23 September 2021

Article published online:
15 January 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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