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Chirurgia 2016 April;29(2):50-2

lingua: Inglese

Late wound infection or primary lymphoma of the sternum? Three years after median sternotomy for open-heart surgery

Marion DIETL 1, 2, Kristina SIORPAES 3, 4, Herbert HANGLER 1, Thomas SCHACHNER 1, Michael GRIMM 1, Gerhard PIERER 3

1 Department of Cardiac Surgery, Innsbruck Medical University, Innsbruck, Austria; 2 Department of Plastic, Aesthetic and Reconstructive Surgery, Academic Hospital Feldkirch, Feldkirch, Austria; 3 Department of Plastic, Reconstructive and Aesthetic Surgery, Innsbruck Medical University, Innsbruck, Austria; 4 Department of General, Visceral, Vascular and Thoracic Surgery, Charité Berlin, Campus Mitte, Berlin, Germany


Solitary chest wall lymphomas are rarely seen in clinical routine. Generally primary lymphoma of the bone is an uncommon disease. We describe a case of a 58 year old man, presenting with pain of the anterior chest wall and local signs of inflammation three years after median sternotomy for mechanical Bentall operation. Late wound infection was suspected and was treated with extensive surgical debridement. Histological examination of the resected tissue finally demonstrated a highly malignant B-Cell lymphoma.

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