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Multipl miyelom kemik iligindeki plasma hucrelerinden baslayan bir kanser turudur. Kemik grafileri kemikteki kiriklari ve oyuklari gosterebilir. En sik tutulan iskelet alanlari pelvis, kafatasi, kaburgalar ve femur- humerus kemikleridir. Torasik omurganin ozellikli anatomisi, bu bolgenin cerrahi yaklasimlarini oldukca zorlastirir. Omurgadaki hematolojik hastaliklarin tedavi secenekleri arasinda cerrahi, kemoterapi ve radyoterapi secenekleri yeralmaktadir. Tek tarafli L- sekilli manubriyotomi sayesinde ust torasik bolge patolojilerine yaklasimlarda tam sternotomi gerekmemektedir. Ust torasik omur multiple myeloma hastasinin cerrahi yonetimini sunmayi amacladik. Sunulan cerrahi yontem ust torasik bolgeye yaklasimda sternotomi ihtiyacini ortadan kaldirmaktadir.

Solitary involvement of multiple myeloma in the upper thoracic spine, and anterior approach to thoracic region without full sternotomy: A case report