title: Follicular thyroid cancer with sternal metastasis - challenges and outcomes.
abstract: Sternal metastasis from differentiated thyroid carcinoma (DTC) is rare and presents a conundrum for surgeons. We present a lady diagnosed with follicular thyroid carcinoma and sternal metastasis who underwent thyroidectomy, sternectomy and sternoplasty with titanium mesh and acrylic plate. She developed a surgical site infection, of which multiple conservative approaches were attempted. She eventually required removal of the implant. Closure of sternal defect was completed with bilateral pectoralis major advancement flaps. This article highlights a series of complications faced during the course of treatment and how they were managed in a tertiary healthcare centre.
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia. farrahhani@gmail.com.
authors.forename: M A
authors.initials: MA
authors.lastname: Syazni
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Otorhinolaryngology, Head and Neck Surgery, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: H S
authors.initials: HS
authors.lastname: Gendeh
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Upper Gastrointestinal, Bariatric and Metabolic Surgery Unit, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: N R
authors.initials: NR
authors.lastname: Kosai
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Cardiothoracic Unit, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: A R
authors.initials: AR
authors.lastname: Ramzisham
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Otorhinolaryngology, Head and Neck Surgery, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: B S
authors.initials: BS
authors.lastname: Gendeh
authors.affiliation: Hospital Kuala Lumpur, Department of Plastic and Reconstructive Surgery, Kuala Lumpur, Malaysia.
authors.forename: N H
authors.initials: NH
authors.lastname: Basiron
authors.affiliation: Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia.
authors.forename: F H
authors.initials: FH
authors.lastname: Imran
mesh_terms: D018263:Adenocarcinoma, Follicular / Q000473:pathology* / Q000601:surgery; D001859:Bone Neoplasms / Q000473:pathology / Q000556:secondary* / Q000601:surgery; D005260:Female; D006801:Humans; D008875:Middle Aged; D013249:Sternum / Q000601:surgery; D013964:Thyroid Neoplasms / Q000473:pathology* / Q000601:surgery