Can surgery relieve pain and act as first-line treatment for a large metastasis of the sternum?

Manfredini, Beatrice; Morandi, U.; De Santis, G.; Catani, F.; Stefani, A.; Pinelli, M.; Baccarani, A.; Starnoni, M.; BELLINI ARTIOLI, Francesco; Aramini, B.

doi:10.1016/j.ijscr.2019.09.022

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.

Data di pubblicazione:	2019
Titolo:	Can surgery relieve pain and act as first-line treatment for a large metastasis of the sternum?
Autore/i:	Manfredini, Beatrice; Morandi, U.; De Santis, G.; Catani, F.; Stefani, A.; Pinelli, M.; Baccarani, A.; Starnoni, M.; BELLINI ARTIOLI, Francesco; Aramini, B.
Autore/i UNIMORE:	Manfredini, Beatrice MORANDI, Uliano DE SANTIS, Giorgio CATANI, Fabio STEFANI, Alessandro Pinelli M. BACCARANI, ALESSIO Starnoni, Marta BELLINI ARTIOLI, FRANCESCO Aramini, Beatrice mostra contributor esterni nascondi contributor esterni
Digital Object Identifier (DOI):	10.1016/j.ijscr.2019.09.022
Rivista:	INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS
Pagina iniziale:	125
Pagina finale:	128
Codice identificativo ISI:	WOS:000493909500030
Codice identificativo Scopus:	2-s2.0-85072749564
Citazione:	Can surgery relieve pain and act as first-line treatment for a large metastasis of the sternum? / Manfredini, Beatrice; Morandi, U.; De Santis, G.; Catani, F.; Stefani, A.; Pinelli, M.; Baccarani, A.; Starnoni, M.; BELLINI ARTIOLI, Francesco; Aramini, B.. - In: INTERNATIONAL JOURNAL OF SURGERY CASE REPORTS. - ISSN 2210-2612. - (2019), pp. 125-128.
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http://hdl.handle.net/11380/1183857

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