Follicular thyroid cancer with sternal metastasis - challenges and outcomes

Syazni MA 1 , Gendeh HS 2 , Kosai NR 3 , Ramzisham AR 4 , Gendeh BS 2 , Basiron NH 5 Show all authors , Imran FH 6

Affiliations 

  • 1 Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia. [email protected]
  • 2 Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Otorhinolaryngology, Head and Neck Surgery, 56000 Cheras, Kuala Lumpur, Malaysia
  • 3 Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Upper Gastrointestinal, Bariatric and Metabolic Surgery Unit, 56000 Cheras, Kuala Lumpur, Malaysia
  • 4 Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Cardiothoracic Unit, 56000 Cheras, Kuala Lumpur, Malaysia
  • 5 Hospital Kuala Lumpur, Department of Plastic and Reconstructive Surgery, Kuala Lumpur, Malaysia
  • 6 Universiti Kebangsaan Malaysia Medical Centre (UKMMC), Department of Surgery, Plastics and Reconstructive Unit, 56000 Cheras, Kuala Lumpur, Malaysia
Med J Malaysia, 2017 02;72(1):80-82.
PMID: 28255152 MyJurnal

Abstract

Sternal metastasis from differentiated thyroid carcinoma (DTC) is rare and presents a conundrum for surgeons. We present a lady diagnosed with follicular thyroid carcinoma and sternal metastasis who underwent thyroidectomy, sternectomy and sternoplasty with titanium mesh and acrylic plate. She developed a surgical site infection, of which multiple conservative approaches were attempted. She eventually required removal of the implant. Closure of sternal defect was completed with bilateral pectoralis major advancement flaps. This article highlights a series of complications faced during the course of treatment and how they were managed in a tertiary healthcare centre.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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