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Case Reports
. 2020 Oct 30;13(10):e235967.
doi: 10.1136/bcr-2020-235967.

Sternal metastatectomy in a case of papillary thyroid carcinoma

Sivakumar Pradeep  1 , Naveen Hedne  2 , Sivakumar Vidhyadharan  2 , Santosham Rajiv  3
Affiliations
Case Reports

Sternal metastatectomy in a case of papillary thyroid carcinoma

Sivakumar Pradeep et al. BMJ Case Rep. .

Abstract

Thyroid cancer is the most common among endocrine cancers. Over 90% of all thyroid malignancies are differentiated thyroid carcinomas (DTC). However, only 2%-13% of DTC present with bone metastasis. Radioactive iodine ablation (RAI) is the treatment of choice for metastatic DTC. However, RAI therapy is not as effective in bone metastasis as it is in lung and visceral metastases. Only few cases of surgical management of bone metastasis in DTC have been reported in the literature. Here, we report a case of follicular variant of papillary thyroid carcinoma with sternal and lung metastases, for which sternal metastatectomy was performed.

Keywords: endocrine cancer; head and neck cancer.

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Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Sagittal section of CT scan showing thyroid and sternal mass.
Figure 2
Figure 2
Exposed sternal mass lesion before excision.
Figure 3
Figure 3
Introperative image depicting post-excision status of sternal mass lesion and reconstruction with Dacron mesh.
See this image and copyright information in PMC

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