Zhou- Li*, Juan de Dios RN, Zhou Lin and Zhai Cai
Department of General Surgery, Zhujiang Hospital, Southern Medical University, ChinaFulltext PDF
Papillary carcinoma is the most common malignant thyroid cancer and metastasis to sternum is extremely rare. We presenting an unusual case of a 49-years old man was referred to our department due to sternal mass detected on physical examination, the mass was rigid and fixed without causing any symptom. Preoperative examination were performed, needle aspiration biopsy of the sternal lesion, confirmed tumor metastatic to sternum, origin from papillary thyroid carcinoma, his CT scan revealed a no well-enhanced mass invading the sternum without compromise adjacent organs. In consultation with thoracic surgeon, we opted sternectomy resection with chest wall reconstruction. He has good postoperative course. No recurrence reported in 6 months operation. Papillary thyroid carcinoma manifested with mass metastasis has an aggressive clinical behavior. Thus, sternectomy resection is vital, and can allow for good results in advanced disease.
Thyroid cancer; Sternal metastasis; Papillary thyroid carcinoma
Zhou- Li, Juan de Dios RN, Lin Z, Cai Z. Sternectomy Resection for Metastasis. Clin Surg. 2019; 4: 2306.