Giant bleeding post-traumatic thoracic sarcoma management: A case report.

Area of Science:

• Thoracic surgery
• Surgical oncology
• Trauma surgery

Background:

• Thoracic wall tumors present diagnostic and treatment challenges.
• Malignant thoracic tumors often arise from primary sources, metastases, or direct invasion.
• Surgical resection of thoracic tumors frequently results in large defects requiring complex reconstruction and multimodal therapy.

Observation:

• A rare case of a giant (30 cm) post-traumatic bleeding thoracic sarcoma in a 70-year-old female is described.
• The patient underwent surgical treatment for the sarcoma.
• A modified Verneuil technique was employed to manage the extensive postoperative skin defect.

Findings:

• The modified Verneuil technique facilitated optimal surgical wound management.
• The technique yielded favorable functional and aesthetic outcomes for the chest defect.
• Four-year follow-up demonstrated high tumor control with no evidence of disease recurrence after surgery and adjuvant radiation therapy.

Implications:

• This case highlights the successful application of the modified Verneuil technique for managing large post-traumatic thoracic defects.
• The findings suggest the technique's potential for optimizing outcomes in complex thoracic tumor resections.
• Effective multimodal management, including surgery and radiation therapy, is crucial for long-term tumor control in thoracic sarcomas.