Titre du document / Document title

Partial resection of the sternum for osseous metastasis of differentiated thyroid cancer : Case report

Auteur(s) / Author(s)

MEYER Andreas ⁽¹⁾ ; BEHREND Matthias ⁽¹⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Klinikum Deggendorf, Klinik für Viszeral-, Thorax-, Gefäss- und Kinderchirurgie, Perlasberger Strasse 41, 94469 Deggendorf, ALLEMAGNE

Résumé / Abstract

Background: Due to their resistance to radio-iodine therapy, skeletal metastases from differentiated thyroid cancer (DTC) are difficult to treat. Surgical resection of solitary skeletal metastasis may offer cure with prolonged survival. Case Report: A patient with the simultaneous appearance of local recurrence of DTC and skeletal metastasis of the cranial sternum is reported. After radical excision of the tumour recurrence and the lymph nodes, a partial sternal resection was carried out, and the defect in the chest wall was reconstructed with polypropylene mesh. Radio-iodine ablation therapy was carried out 4 times after the operation for locally recurrent disease. At the follow-up, 41/2 years after the resection of the sternal metastasis, the patient is free of disease. Conclusion: Sternal resection for solitary osseous metastasis of DTC should be performed on selected, individual patients. Reconstruction of the sternum with polypropylene mesh, as a simple and effective method, produces satisfactory functional and cosmetic results and allows a more effective radio-iodine treatment.

Revue / Journal Title

Anticancer research   ISSN 0250-7005 

Source / Source

2005, vol. 25, n^o6C, pp. 4389-4392 [4 page(s) (article)] (14 ref.)

Langue / Language

Anglais

Editeur / Publisher

International Institute of Anticancer Research, Attiki, GRECE  (1980) (Revue)

Mots-clés anglais / English Keywords

Thyroid diseases ; Endocrinopathy ; Malignant tumor ; Cancerology ; Case study ; Sternum ; Thyroid cancer ; Resection ; Partial ; Metastasis ;

Mots-clés français / French Keywords

Thyroïde pathologie ; Endocrinopathie ; Tumeur maligne ; Cancérologie ; Etude cas ; Sternum ; Cancer thyroïde ; Résection ; Partiel ; Métastase ;

Mots-clés espagnols / Spanish Keywords

Tiroides patología ; Endocrinopatía ; Tumor maligno ; Cancerología ; Estudio caso ; Esternón ; Cáncer de la tiroides ; Resección ; Parcial ; Metástasis ;

Mots-clés d'auteur / Author Keywords

Metastasizing thyroid cancer ; sternal metastasis ; resection ;

Localisation / Location

INIST-CNRS, Cote INIST : 19426, 35400013509253.0030