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Ann Thorac Surg 2006;82:332-334
© 2006 The Society of Thoracic Surgeons


Case report

Oklahoma Prosthesis: Resection of Tumor of Clavicle and Chest Wall Reconstructed With a Custom Composite Graft

Shant M. Vartanian, MD a , Shanthi Colaco, MD b , Lisa E. Orloff, MD b , Pierre R. Theodore, MD a , *

a Division of Cardiothoracic Surgery, University of California, San Francisco, California
b Department of Otolaryngology-Head and Neck Surgery, University of California, San Francisco, California

Accepted for publication September 14, 2005.

* Address correspondence to Dr Theodore, University of California at San Francisco, 1600 Divisadero St, Box 1674/MZ Room A-745, San Francisco, CA 94143-1674 (Email: theodorep{at}surgery.ucsf.edu).

Tumors involving the clavicle by primary or metastatic growth may require clavicular resection often with rib resection. The resulting cosmetic and functional impairment of clavicular resection may be significant with a sloped appearing shoulder girdle and chronically impaired movement of the upper extremity. We report a 48-year-old woman presenting with a bulky metastatic renal cell mass of her left clavicle extending to the chest wall. We report en-bloc clavilculectomy and chest wall resection with a novel method of reconstruction using a single methyl methacrylate and prolene composite prosthesis in a configuration resembling the state of Oklahoma.







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