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Surgical Management of Thoracic Multiple Exostoses
Senthooran Kanthasamy1, Giuseppe Aresu1, Adam Peryt1
1Department of Thoracic Surgery, Royal Papworth Hospital, Papworth Everard, Cambridge, United Kingdom.
The Annals of Thoracic Surgery
|October 8, 2019
Summary
Hereditary multiple exostoses, a rare genetic disorder, can cause severe chest pain. Video-assisted thoracoscopic surgery successfully removed the osteochondroma, resolving symptoms and enabling rapid patient recovery.
Area of Science:
- Medical Genetics
- Thoracic Surgery
- Oncology
Background:
- Hereditary multiple exostoses (HME) is an autosomal dominant disorder characterized by the growth of multiple osteochondromas.
- Osteochondromas can lead to significant complications, including pain and potential malignancy.
- Thoracic involvement necessitates surgical intervention for symptomatic relief and diagnosis.
Observation:
- A 25-year-old female patient with HME presented with severe right-sided chest pain.
- Computed tomography (CT) scan was utilized for precise preoperative planning of the osteochondroma resection.
- The patient underwent a right video-assisted thoracoscopic surgery (VATS) via a retromammary incision.
Findings:
- Complete resection of the osteochondroma was achieved using VATS.
- The minimally invasive approach facilitated accurate tumor removal.
- The patient experienced symptom resolution and was discharged within 2 days post-surgery.
Implications:
- VATS offers a viable and effective surgical option for thoracic osteochondromas in HME patients.
- Muscle-sparing incisions and minimally invasive techniques contribute to faster patient recovery.
- This case highlights the successful management of a rare complication of HME, improving patient outcomes.
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