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- Hong-Jing Lan, Zhi-Qiang Wu, Dong-Ge Gong, Wang-Yong Zheng, and Yun Jin.
- aDepartment of General Surgery, The Second People's Hospital of Quzhou, Quzhou bDepartment of General Surgery, The Second Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, Zhejiang, China.
- Medicine (Baltimore). 2017 Nov 1; 96 (46): e8786e8786.
RationaleMetachronous sternal metastasis of thyroid carcinoma was a rare disease. There was no consensus in the treatment for bone metastasis after the initial thyroid carcinoma surgery.Patient ConcernsA 53-year-old female patient was hospitalized due to recurrent dull chest pains, with a history of radical right side thyroid carcinoma 4 years ago. On examination, there was an irregular mass on the lower left half of the sternum. Computerized tomography scan showed sternal bone destruction with a soft tissue mass.DiagnosesMetachronous sternal metastasis of thyroid carcinoma.InterventionsPartial resection of the sternum and reconstruction with a titanium alloy mesh were performed.OutcomesAfter a 3-year follow-up, the patient had no recurrence.LessonsSurgical resection may be a sufficient treatment for metachronous sternal metastasis of thyroid carcinoma. Biosynthesis material mesh is preferred to be used.
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