Strangulated right paraduodenal hernia successfully treated
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"Background
Ewing Sarcoma (ES) and Neuroblastoma (NB) belong to a family of tumours of primitive neuroectodermal origin (PNET) that occurs in both bone and soft tissue. Notwithstanding ES and NB are two distinct malignant tumours, sometimes there could be a link between them.
Case report
We describe a case of an extraosseous ES localized in the retrosternal region and the upper lobe of the right lung, which had been previously treated for NB in a 6 years old female.He was treated with a clamshell approach which allows, in a one-step surgery, a complete excision of the mass reconstructing the hemysternectomy with a non-crosslinked matrix.
Conclusion
The clamshell approach is therefore useful to achieve the retrosternal space and the lung with a single surgical access."...

http://www.sciencedirect.com/science/article/pii/S2213576617300994
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