Skip to main content

Advertisement

Log in

Sternal resection for metastasis from thyroid carcinoma and reconstruction with the sandwiched marlex and stainless steel mesh

  • Case Report
  • Published:
The Japanese Journal of Thoracic and Cardiovascular Surgery Aims and scope Submit manuscript

Abstract

A case of 69-year-old woman with a solitary sternal bone metastasis from thyroid carcinoma undergoing surgical therapy was reported here. On admission, most part of the body of the sternum was destroyed by tumor. Subtotal sternectomy was performed and a part of the major pectoral muscles adherent to the sternal tumor was also resected. The chest wall defect was reconstructed with a sandwiched Marlex and stainless steel mesh. Pathological examination of the resected specimen revealed metastatic papillary carcinoma of the thyroid. Her postoperative course was uneventful. The reconstruction with Marlex and stainless steel mesh seemed to be an appropriate procedure to prevent paradoxical movement of the thorax and protect the intrathoracic organs. Stainless steel mesh compensated for limited resiliency of Marlex mesh and remained rigid in all directions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Marcocci C, Pacini F, Elisei R, Schipani E, Ceccarelli C, Miccoli P, et al. Clinical and biologic behavior of bone metastases from differentiated thyroid carcinoma. Surgery 1989; 106: 960–6.

    PubMed  CAS  Google Scholar 

  2. Proye CA, Dromer DH, Carnaille BM, Gontier AJ, Goropoulos A, Carpentier P, et al. Is it still worthwhile to treat bone metastases from differentiated thyroid carcinoma with radioactive iodine? World J Surg 1992; 16: 640–6.

    Article  PubMed  CAS  Google Scholar 

  3. Carbognani P, Vagliasindi A, Costa P, Pascarella L, Pazzini L, Bobbio A, et al. Surgical treatment of primary and metastatic sternal tumours. J Cardiovasc Surg 2001; 42: 411–4.

    CAS  Google Scholar 

  4. Ozaki O, Kitagawa W, Koshiishi H, Sugino K, Mimura T, Ito K. Thyroid carcinoma metastasized to the sternum: Resection of the sternum and reconstruction with acrylic resin. J Surg Oncol 1995; 60: 282–5.

    Article  PubMed  CAS  Google Scholar 

  5. Muthuphei MN, Mabua MP. Retrosternal thyroid carcinoma metastatic to the sternum: A case report. Cent Afr J Med 1998; 44: 292–3.

    PubMed  CAS  Google Scholar 

  6. Mishra A, Mishra S, Agarwal A, Agarwal G, Agarwal SK. Surgical treatment of sternal metastases from thyroid carcinoma: Report of two cases. Surg Today 2001; 31: 799–802.

    Article  PubMed  CAS  Google Scholar 

  7. Kinoglou G, Vandeweyer E, Lothaire P, Gebhart M, Andry G. Thyroid carcinoma metastasis to the sternum: Resection and reconstruction. Acta Chir Belg 2001; 101:253–5.

    PubMed  CAS  Google Scholar 

  8. Wood WJ Jr, Singletary SE, Hickey RC. Current results of treatment for distant metastatic well-differentiated thyroid carcinoma. Arch Surg 1989; 124: 1374–7.

    PubMed  Google Scholar 

  9. Lequaglie C, Massone PB, Giudice G, Conti B. Gold standard for sternectomies and plastic reconstructions after resections for primary or secondary sternal neoplasms. Ann Surg Oncol 2002; 9: 472–9.

    Article  PubMed  Google Scholar 

  10. Briccoli A, Manfrini M, Rocca M, Lari S, Giacomini S, Merculi M. Sternal reconstruction with synthetic mesh and metallic plates for high grade tumours of the chest wall. Eur J Surg 2002; 168: 494–9.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Haraguchi, S., Yamashita, Y., Yamashita, K. et al. Sternal resection for metastasis from thyroid carcinoma and reconstruction with the sandwiched marlex and stainless steel mesh. Jpn J Thorac Caridovasc Surg 52, 209–212 (2004). https://doi.org/10.1007/s11748-004-0111-2

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11748-004-0111-2

Key words

Navigation