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Thyroid carcinoma metastasized to the sternum: Resection of the sternum and reconstruction with acrylic resin
Author(s) -
Ozaki Osamu,
Kitagawa Wataru,
Koshiishi Haruya,
Sugino Kiminori,
Mimura Takashi,
Ito Kunihiko
Publication year - 1995
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930600413
Subject(s) - sternum , medicine , rib cage , thyroid carcinoma , lesion , carcinoma , surgery , radiology , thyroid , anatomy , pathology
Recently we resected and reconstructed the sternum in two female patients with thyroid carcinoma metastatic to the sternum. Histological diagnosis of the metastatic lesion was follicular carcinoma in the first case and papillary carcinoma in the second case. Reconstruction of the sternum was accomplished by using an acrylic resin plate alone in the first case and an acrylic resin plate sandwiched between layers of Marlex® mesh (Marlex sandwich procedure) in the second case. In the first case the acrylic resin plate was directly fixed to the ribs with metallic wires, most of which snapped off later, and a small amount of exudate accumulated around the plate for a short period of time. In contrast, the postoperative course in the second case was uneventful and the Marlex® sandwich procedure seemed superior in chest wall reconstruction following resection of the sternum. © 1995 Wiley‐Liss, Inc.