A Case of Isolated Sternal Metastasis from Ovarian Cancer Resected with Preservation of the Sternal Pedicle and Part of the Sternal Body

  • KOEN Akihiro
    Department of Thoracic Surgery, Tokyo Women's Medical University Adachi Medical Center
  • SASAMOTO Shoko
    Department of Thoracic Surgery, Tokyo Women's Medical University Adachi Medical Center
  • SHIMIZU Toshihide
    Department of Thoracic Surgery, Tokyo Women's Medical University Adachi Medical Center
  • MASUNAGA Atsuko
    Department of Pathology, Tokyo Women's Medical University Adachi Medical Center
  • MAE Masahiro
    Department of Thoracic Surgery, Tokyo Women's Medical University Adachi Medical Center

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  • 胸骨柄と胸骨体一部を温存し摘出した卵巣癌孤立性胸骨転移の1例
  • キョウコツヘイ ト キョウコツタイ イチブ オ オンゾン シ テキシュツ シタ ランソウ ガン コリツセイ キョウ コツ テンイ ノ 1レイ

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<p>The patient was a 49-year-old woman. She had breast cancer surgery and chemotherapy at the age of 41, and ovarian cancer surgery at the age of 43. At the time of her outpatient visit to the gynecology department of our hospital, an elevation of CA125 with time was observed, and a PET-CT scan showed an accumulation of FDG consistent with a tumor in the sternum. For diagnosis and treatment, partial resections of the sternal pedicle, part of the sternal body, and bilateral first, second and third rib cartilages were performed along with the tumor, and the chest wall defect was reconstructed using polypropylene mesh. The pathological findings revealed sternal metastasis of ovarian cancer. Breast and thyroid cancers are the most common malignant tumors with sternal metastasis, and multiple bone metastases are proved in most cases. Isolated sternal metastasis in ovarian cancer is rarely reported, but even in the case of distant metastasis, resection of a single tumor has been reported to prolong survival. In this study, we report a case of isolated sternal metastasis in which the extent of resection was determined by imaging, and after securing a sufficient surgical resection area, a sternal resection with chest wall reconstruction using polypropylene mesh was performed.</p>

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