Resection of a Metastatic Sternal Tumor Originating from a Thyroid Papillary Carcinoma—A Case Report—

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  • HARUKI Tomohiro
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University
  • ISHIGURO Kiyosuke
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University
  • HOSOYA Keiko
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University
  • KIDOKORO Yoshiteru
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University
  • WAKAHARA Makoto
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University
  • NAKAMURA Hiroshige
    Department of Surgery, Division of General Thoracic Surgery, Breast and Endocrine Surgery, Faculty of Medicine, Tottori University

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Other Title
  • 両側胸鎖関節を含む胸骨切除を行った甲状腺癌胸骨転移の1例
  • 症例 両側胸鎖関節を含む胸骨切除を行った甲状腺癌胸骨転移の1例
  • ショウレイ リョウ ソクキョウ サ カンセツ オ フクム キョウコツ セツジョ オ オコナッタ コウジョウセン ガン キョウ コツ テンイ ノ 1レイ
  • Resection of a Metastatic Sternal Tumor Originating from a Thyroid Papillary Carcinoma—A Case Report—

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Abstract

A 59-year-old woman was referred to our hospital with a chief complaint of anterior chest pain. The patient had a history of surgically treated thyroid papillary carcinoma and recurrent mediastinal lymph node carcinoma. A diagnosis of a metastatic sternal tumor originating from a thyroid papillary carcinoma was made. Contrast enhanced computed tomography of the chest revealed osteolytic changes in the sternal manubrium and body as well as enlarged left supraclavicular and paratracheal lymph nodes. We performed extended resection of the sternal manubrium and body including the bilateral clavicles and the 1st and 2nd ribs, combined resection and reconstruction of the left brachiocephalic vein, and resection of the left supraclavicular and paratracheal lymph nodes. Subsequently, we performed chest wall reconstruction by using a left pedicled latissimus dorsi muscle flap. Histological examination indicated a diagnosis of a squamous cell carcinoma for the sternal tumor. Surgical resection is a viable treatment option for sternal metastasis of thyroid cancer.

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