{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T16:34:24Z","timestamp":1753893264437,"version":"3.41.2"},"reference-count":16,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T00:00:00Z","timestamp":1670457600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>The heterogeneity of thoracic wall tumors often represents challenging clinical entities for surgeons due to diagnostic and treatment complexities. The primary tumors, metastases, or direct invasion from intrathoracic structures comprise almost half of all cases on average that are proved to be malignant. Surgery treatment usually leaves large chest defects that require further extensive reconstruction and multimodal management including radiotherapy and chemotherapy. We report a rare case of a giant (30\u2005cm) post-traumatic bleeding thoracic sarcoma treatment in a 70-year-old female. The use of our modified Verneuil technique to close the extensive postoperative skin defect optimized surgical wound management and provided good functional and aesthetic results. Four-year follow-up outcomes after surgical and adjuvant radiation therapy reported a high level of tumor control and showed no evidence of postoperative disease recurrence.<\/jats:p>","DOI":"10.3389\/fsurg.2022.1044077","type":"journal-article","created":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T07:09:05Z","timestamp":1670483345000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":4,"title":["Giant bleeding post-traumatic thoracic sarcoma management: A case report"],"prefix":"10.3389","volume":"9","author":[{"given":"Alexey V","family":"Shabunin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ivan N","family":"Lebedinsky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David D","family":"Dolidze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zurab A","family":"Bagatelia","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Serghei","family":"Covantsev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dmitry S","family":"Bocharnikov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nodar N","family":"Gogitidze","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2022,12,8]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1807","DOI":"10.3892\/etm.2015.2353","article-title":"Chest wall tumors: diagnosis, treatment and reconstruction","volume":"9","author":"Lin","year":"2015","journal-title":"Exp Ther Med"},{"key":"B2","doi-asserted-by":"publisher","first-page":"5113","DOI":"10.1200\/JCO.2008.17.4631","article-title":"Outcome after surgical resections of recurrent chest wall sarcomas","volume":"26","author":"Wouters","year":"2008","journal-title":"J Clin Oncol"},{"key":"B3","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/1749-8090-8-82","article-title":"Refractory bleeding from a chest wall sarcoma: a rare indication for palliative resection","volume":"8","author":"Weber","year":"2013","journal-title":"J Cardiothorac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"211","DOI":"10.1016\/j.ijscr.2016.10.002","article-title":"A multidisciplinary approach to giant soft tissue sarcoma of the chest wall: a case report","volume":"28","author":"Davis","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"B5","doi-asserted-by":"publisher","first-page":"e1604","DOI":"10.7759\/cureus.1604","article-title":"Sarcoma arising from the chest wall: a case report","volume":"9","author":"Akhtar","year":"2017","journal-title":"Cureus"},{"key":"B6","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1016\/j.athoracsur.2013.05.015","article-title":"Recurrence patterns after resection of soft tissue sarcomas of the chest wall","volume":"96","author":"McMillan","year":"2013","journal-title":"Ann Thorac Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"2179","DOI":"10.3892\/ol.2017.7624","article-title":"Long-term outcomes of patients with soft tissue sarcoma of the chest wall: analysis of the prognostic significance of microscopic margins","volume":"15","author":"Harati","year":"2018","journal-title":"Oncol Lett"},{"key":"B8","doi-asserted-by":"publisher","first-page":"2350157","DOI":"10.1155\/2019\/2350157","article-title":"Soft tissue sarcomas of the thoracic wall: more prone to higher mortality, and local recurrence\u2014a single institution long-term follow-up study","volume":"2019","author":"Soerensen","year":"2019","journal-title":"Int J Surg Oncol"},{"key":"B9","doi-asserted-by":"publisher","first-page":"21","DOI":"10.1186\/s12885-020-07730-3","article-title":"Actual long-term survival after resection of stage III soft tissue sarcoma","volume":"21","author":"Lee","year":"2021","journal-title":"BMC Cancer"},{"key":"B10","doi-asserted-by":"publisher","first-page":"604","DOI":"10.1002\/jso.23863","article-title":"Role of radiation therapy for non-extremity soft tissue sarcomas","volume":"111","author":"De Amorim Bernstein","year":"2015","journal-title":"J Surg Oncol"},{"key":"B11","doi-asserted-by":"publisher","first-page":"247","DOI":"10.3389\/fonc.2015.00247","article-title":"Thoracic wall reconstruction after tumor resection","volume":"5","author":"Harati","year":"2015","journal-title":"Front Oncol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"95","DOI":"10.21037\/jovs.2017.06.10","article-title":"Materials and techniques in chest wall reconstruction: a review","volume":"3","author":"Sanna","year":"2017","journal-title":"J Visual Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"106","DOI":"10.1186\/1749-8090-9-106","article-title":"Primary malignant chest wall tumors: analysis of 40 patients","volume":"9","author":"Bagheri","year":"2014","journal-title":"J Cardiothorac Surg"},{"key":"B14","doi-asserted-by":"publisher","first-page":"62","DOI":"10.5603\/NJO.2021.0011","article-title":"The surgical anatomy of the mammary gland. Vascularisation, innervation, lymphatic drainage, the structure of the axillary fossa (part 2.)","volume":"71","author":"Cie\u015bla","year":"2021","journal-title":"Nowotwory J Oncol"},{"key":"B15","doi-asserted-by":"publisher","first-page":"38","DOI":"10.1016\/j.jpra.2021.07.002","article-title":"The pectoralis major musculo-mammary transposition flap to close a radical mastectomy defect: the breast switch","volume":"30","author":"Taams","year":"2021","journal-title":"JPRAS Open"},{"key":"B16","article-title":"Statpearls","volume-title":"Breast reconstruction free flaps","author":"Rose","year":"2022"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1044077\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,8]],"date-time":"2022-12-08T07:09:08Z","timestamp":1670483348000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2022.1044077\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12,8]]},"references-count":16,"alternative-id":["10.3389\/fsurg.2022.1044077"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2022.1044077","relation":{},"ISSN":["2296-875X"],"issn-type":[{"type":"electronic","value":"2296-875X"}],"subject":[],"published":{"date-parts":[[2022,12,8]]},"article-number":"1044077"}}