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J Thorac Cardiovasc Surg 2005;129:1177-1178
© 2005 The American Association for Thoracic Surgery

Brief Communications

Sternal resection and reconstruction after renal cell carcinoma metastatic to the sternum

Jeremy W. Pyle, BSa, Jennifer L. Ash, MDb, Syed M. Hussain, MDb, Nicole Reid, MDb, Richard C. Anderson, MDb,c,*

a University of Illinois College of Medicine at Peoria
b Department of Surgery, Peoria, Ill
c Section of Cardiothoracic Surgery, Peoria, Ill.

Received for publication July 22, 2004; accepted for publication August 23, 2004.

* Address for reprints: Richard C. Anderson, MD, FACS, University of Illinois College of Medicine at Peoria, Department of Surgery, North Building, 2nd Floor, 624 NE Glen Oak Ave, Peoria, IL 61603-3135.

The first 20% of the full text of this article appears below.

Renal cell carcinoma is neither uncommon nor easy to detect. For this reason, coupled with the highly vascular nature of this tumor, it is frequently discovered incidentally or through workup of a metastasis. Literature from 19721 and 19812 detail 3 patients who underwent both nephrectomy and sternal resection for a metastatic renal cell carcinoma and were asymptomatic after 5 years. Since that time, written material on the topic of isolated renal cell metastases has been sparse. Given the current state of prosthetic materials and surgical expertise, in the presence of an isolated metastatic lesion to the sternum, resection and reconstruction with intent to palliate or obviate disease is preferred. We report on our experience with one case of a singular metastatic focus in the sternum and the sternectomy and reconstruction used in treatment.

Clinical summary

A 47-year-old woman had pain overlying the sternum. Clinical examination at that time showed a tender protuberance with fullness across . . . [Full Text of this Article]






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