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Can surgery relieve pain and act as first-line treatment for a large metastasis of the sternum?
Manfredini, Beatrice; Morandi, Uliano; De Santis, Giorgio; Catani, Fabio; Stefani, Alessandro; Pinelli, Massimo; Baccarani, Alessio; Starnoni, Marta; Artioli, Fabrizio; Aramini, Beatrice.
Afiliação
  • Manfredini B; Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: beatrice.manfredini91@gmail.com.
  • Morandi U; Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: uliano.morandi@unimore.it.
  • De Santis G; Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: giorgio.desantis@unimore.it.
  • Catani F; Orthopaedics and Traumatology Department, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: fabio.catani@unimore.it.
  • Stefani A; Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: alessandro.stefani@unimore.it.
  • Pinelli M; Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: massimo.pinelli@unimore.it.
  • Baccarani A; Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: alessio.baccarani@unimore.it.
  • Starnoni M; Division of Plastic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: martastarn@unimore.it.
  • Artioli F; Division of Medical Oncology, Ramazzini Hospital, Carpi, Modena, Italy. Electronic address: f.artioli@ausl.mo.it.
  • Aramini B; Division of Thoracic Surgery, Department of Medical and Surgical Sciences for Children & Adults, University of Modena and Reggio Emilia, Modena, Italy. Electronic address: beatrice.aramini@unimore.it.
Int J Surg Case Rep ; 63: 125-128, 2019.
Article em En | MEDLINE | ID: mdl-31585323
ABSTRACT

BACKGROUND:

There are few papers published on sternal metastasis from renal cell carcinoma. The unifying element is the operability of the sternal metastasis if it is the only site of metastasis, on the operability of the primary site of the tumor and on the patient's health conditions. PRESENTATION OF THE CASE We present a case of a 66-years-old man undergone sternal resection for a large painful metastasis. He was previously undergone left nephrectomy for clear cells carcinoma. En bloc resection of the sternal manubrium and right clavicle was performed, a Gore-Tex mesh was placed. Histology confirmed metastasis of kidney clear cells carcinoma. Patient was discharged with no complications and no pain. Chest CT at six months follow up was negative for recurrence. DISCUSSION AND

CONCLUSION:

We highlighted the importance of surgery as possible first-line treatment in symptomatic large sternum metastasis. Therefore, prospective studies should be considered to confirm our strategy.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Ano de publicação: 2019 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Tipo de estudo: Observational_studies Idioma: En Ano de publicação: 2019 Tipo de documento: Article