[Metastatic sternal tumor from thyroid papillary carcinoma; report of a case].
A 68-year-old male was referred to our department for treatment of a metastatic sternal tumor in the manubrium sterni. Primary lesion was papillary carcinoma of the left lobe of the thyroid gland. Total thyroidectomy, cervical lymph node dissection, resection of manubrium sterni with concomitant resection of bilateral clavicles, 1st ribs and 2nd ribs, and chest wall reconstruction using Marlex Mesh were performed on January 29, 2001. Considering relatively good prognosis and good response to multimodality therapy, surgical resection of sternal metastatic lesion from differentiated thyroid cancer seems to be a choice of therapy as a part of multimodality approach, including surgery, radioiodine and external radiation therapy, to thyroid cancer with systemic spread.
Murakawa
T
T
Department of Cardiothoracic Surgery, Faculty of Medicine, University of Tokyo, Tokyo, Japan.
Nakajima
J
J
Tanaka
M
M
Matsumoto
J
J
Takeuchi
E
E
Takamoto
S
S
Sugasawa
T
T
Mibu
K
K
D000231:Adenocarcinoma, Papillary / Q000556:secondary* / Q000601:surgery; D000368:Aged; D001859:Bone Neoplasms / Q000556:secondary* / Q000601:surgery; D006801:Humans; D008197:Lymph Node Excision; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods*; D013249:Sternum / Q000601:surgery*; D013526:Surgical Mesh; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery