Excision of metastatic breast cancer from sternum and reconstruction in two patients with solitary metastatic spread

Research output: Contribution to journalArticlepeer-review

Authors

  • Saifullah Mohamed
  • Khurum Mazhar
  • Ahmed Osman
  • Lakshmi Srinivasan
  • Shilajit Ghosh

Colleges, School and Institutes

External organisations

  • Royal Stoke University Hospital

Abstract

Metastatic breast carcinoma is a relatively common clinical entity. However, the prognosis of oligometastatic and polygometastatic disease differs considerably pertaining to five-year survival. Metastatic breast carcinoma to the sternum has been described as early as 1988. We describe two cases in our institution who presented with solitary sternal metastases with a previous history of treated breast cancer. In both cases, there had been a history of previous left breast cancer treated aggressively with surgical resection and adjuvant oncological therapy and maintenance hormonal therapy. Partial sternectomy or total sternectomy for solitary metastatic sternal deposits is well established with relatively low morbidity and mortality and improvement in quality of life and possible improvement in long-term survival. Furthermore, reconstructive options are inherently dependent on extent of resection performed. These techniques can incorporate the use of sternal plates in order to approximate defects and reinforce the sternum in the setting of partial sternectomy.

Details

Original languageEnglish
Article numberrjaa272
JournalJournal of Surgical Case Reports
Volume2020
Issue number8
Publication statusPublished - 31 Aug 2020

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