International Journal of Cardiovascular and Thoracic Surgery

| Peer-Reviewed |

Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma

Received: 30 January 2017    Accepted: 21 February 2017    Published: 28 November 2017
Views:       Downloads:

Share This Article

Abstract

Secondary lesions to the sternum are uncommon and occur more commonly in patients with lung and breast cancer. Only a few cases of sternal metastasis arising from a follicullar thyroid carcinoma have been reported in the literature. The management of this kind of metastasis remains controversial. We describe a case of a sternal mass treated by radical surgery and Iodine radiation, which ultimately proved to be a solitary metastasis from a follicular carcinoma of the thyroid, appearing 20 years after subtotal thyroidectomy. A review of the literature was also performed to evaluate the characteristics of reported cases of sternal thyroid cancer metastases treated with surgical resection. According to the results we recommend surgical resection of the metastasis, not only as a curative or palliative measure but also to maximize the effect of subsequent radioiodine treatment.

DOI 10.11648/j.ijcts.20170306.11
Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 3, Issue 6, November 2017)
Page(s) 67-69
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Thyroid Cancer, Metastasis, Sternal Tumor, Surgery

References
[1] Yanagawa J, Abtin F, Lai C K, Yeh M, MD, Carolyn D. Britten C D, Martinez, Crisera C A, Holmes E C, Lee J M. Resection of Thyroid Cancer Metastases to the Sternum. J Thorac Oncol. 2009; 4: 1022–1025.
[2] Mssrouri R, Mohammadine E, Benamr S, Medaghri J, Essadel A, Lahlou MK,
 Taghy A, Gharib N, Chad B. Que faut-il faire devant une métastase sternale d’un cancer différencié de la thyroïde ? J Chir 2009; 146: 48—52.
[3] Sabih Q,. Spafford M F, Dietl CA. Poorly differentiated thyroid carcinoma with sternal invasion. A case report and review of the literature. Int J of Surgery Case Reports 2014; 5: 816–820.
[4] Eroglu A, Karaoglanoglu N, Bilen H, Gursan N, Follicular thyroid carcinoma: metastasis to the sternum, 13 years after total thyroidectomy. Int J Clin Pract, November 2006; 60, 11: 1506–1508.
[5] Luna-Ortiz K, Salcedo-Hernández R A, Lino-Silva L S, Pedraza A G. Two cases of sternectomy for bone metastasis due to aggressive variants of thyroid papillary carcinoma. Int J of Surgery Case Reports 2013; 4: 156–159.
[6] Meyer A, Behrend M. Partial resection of the sternum for osseous metastasis of differentiated thyroid cancer: Case report. Anticancer Res 2005; 25: 4389-4392.
[7] Harness JK, McLeod MK, Thompson NW, Noble WC, Burney RE. Deaths due to differentiated thyroid cancer: a 46-year perspective. World J Surg 1998; 12: 623–9.
[8] Kinoglou G, Vandeweyer E, Lothaire P, Gebhart M, Andry G. Thyroid carcinoma metastasis to the sternum: resection and reconstruction. Acta Chir Belg 2001; 101: 253–5.
[9] Mishra A, Mishra SK, Agarwal A, Agarwal G, Agarwal SK. Surgical treatment of sternal metastases from thyroid carcinoma: report of two cases. Surg Today 2001; 31: 799–802.
[10] Murakawa T, Nakajima J, Tanaka M et al. Metastatic sternal tumor from thyroid papillary carcinoma; report of a case. Kyobu Geka 2002; 55: 1161–6.
[11] Jancer JC, Grob JC, Rodier J, Methlin FG. Les métastases des cancers différenciés de la thyroïde: revue de la littérature et expérience personnelle. Lyon Chir 1992; 88: 97—103.
[12] Kitamura Y, Shimizu K, Nagahama M, Sugino K, Ozaki O, Mimura T, et al. Immediate causes of death in thyroid carcinoma: clinicopathological analysis of 161 fatal cases. J Clin Endocrinol Metab 1999; 84: 4043–4049.
[13] Grubbs EG, Rich TA, Li G, Sturgis EM, Younes MN, Myers JN. Recent advances in thyroid cancer. Current Problems in Surgery 2008; 45: 156–250.
[14] Bernier MO, Leenhardt L, Hoang C, et al. Survival and therapeutic modalities in patients with bone metastases of differentiated thyroid carcinomas. J Clin Endocrinol Metab 2001; 86: 1568–1573.
[15] Niederle B, Roka R, Schemper M et al. Surgical treatment of distant metastases in differentiated thyroid cancer: indication and results. Surgery 1986; 100: 1088–1097.
[16] Pak H, Gourgiotis L, Chang WI, et al. Role of metastasectomy in the management of thyroid carcinoma: the NIH experience. J Surg Oncol 2003; 82: 10-18.
[17] Zettinig G, Fueger BJ, Passler C, Kaserer K, Pirich C, Dudczak R and Niederle B: Long-term follow-up of patients with bone metastases from differentiated thyroid carcinoma – surgery or conventional therapy? Clin Endocrinol (Oxf) 2002; 56: 377-382.
Author Information
  • Thoracic Surgery Department, Ibn Sina Military Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

  • Thoracic Surgery Department, Ibn Sina Military Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

  • Plastic Surgery Department Ibn Sina Military Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

  • Pathological Anatomy Department, Ibn Sina Military Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

  • Pathological Anatomy Department, Ibn Sina Military Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

  • Thoracic Surgery Department, Arrazi Hospital, Faculty of Medicine and Pharmacy Mohammed VI, Cady Ayyad University, Marrakech, Morocco

Cite This Article
  • APA Style

    Arsalane Adil, Zidane Abdelfetah, Tourabi Khalid, Ktaibi Abderahman, Rharrassi Issam, et al. (2017). Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma. International Journal of Cardiovascular and Thoracic Surgery, 3(6), 67-69. https://doi.org/10.11648/j.ijcts.20170306.11

    Copy | Download

    ACS Style

    Arsalane Adil; Zidane Abdelfetah; Tourabi Khalid; Ktaibi Abderahman; Rharrassi Issam, et al. Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma. Int. J. Cardiovasc. Thorac. Surg. 2017, 3(6), 67-69. doi: 10.11648/j.ijcts.20170306.11

    Copy | Download

    AMA Style

    Arsalane Adil, Zidane Abdelfetah, Tourabi Khalid, Ktaibi Abderahman, Rharrassi Issam, et al. Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma. Int J Cardiovasc Thorac Surg. 2017;3(6):67-69. doi: 10.11648/j.ijcts.20170306.11

    Copy | Download

  • @article{10.11648/j.ijcts.20170306.11,
      author = {Arsalane Adil and Zidane Abdelfetah and Tourabi Khalid and Ktaibi Abderahman and Rharrassi Issam and Mssougar Yacine},
      title = {Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {3},
      number = {6},
      pages = {67-69},
      doi = {10.11648/j.ijcts.20170306.11},
      url = {https://doi.org/10.11648/j.ijcts.20170306.11},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ijcts.20170306.11},
      abstract = {Secondary lesions to the sternum are uncommon and occur more commonly in patients with lung and breast cancer. Only a few cases of sternal metastasis arising from a follicullar thyroid carcinoma have been reported in the literature. The management of this kind of metastasis remains controversial. We describe a case of a sternal mass treated by radical surgery and Iodine radiation, which ultimately proved to be a solitary metastasis from a follicular carcinoma of the thyroid, appearing 20 years after subtotal thyroidectomy. A review of the literature was also performed to evaluate the characteristics of reported cases of sternal thyroid cancer metastases treated with surgical resection. According to the results we recommend surgical resection of the metastasis, not only as a curative or palliative measure but also to maximize the effect of subsequent radioiodine treatment.},
     year = {2017}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Isolated Sternal Metastasis Arising from Well Diferencied Thyroid Carcinoma
    AU  - Arsalane Adil
    AU  - Zidane Abdelfetah
    AU  - Tourabi Khalid
    AU  - Ktaibi Abderahman
    AU  - Rharrassi Issam
    AU  - Mssougar Yacine
    Y1  - 2017/11/28
    PY  - 2017
    N1  - https://doi.org/10.11648/j.ijcts.20170306.11
    DO  - 10.11648/j.ijcts.20170306.11
    T2  - International Journal of Cardiovascular and Thoracic Surgery
    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
    SP  - 67
    EP  - 69
    PB  - Science Publishing Group
    SN  - 2575-4882
    UR  - https://doi.org/10.11648/j.ijcts.20170306.11
    AB  - Secondary lesions to the sternum are uncommon and occur more commonly in patients with lung and breast cancer. Only a few cases of sternal metastasis arising from a follicullar thyroid carcinoma have been reported in the literature. The management of this kind of metastasis remains controversial. We describe a case of a sternal mass treated by radical surgery and Iodine radiation, which ultimately proved to be a solitary metastasis from a follicular carcinoma of the thyroid, appearing 20 years after subtotal thyroidectomy. A review of the literature was also performed to evaluate the characteristics of reported cases of sternal thyroid cancer metastases treated with surgical resection. According to the results we recommend surgical resection of the metastasis, not only as a curative or palliative measure but also to maximize the effect of subsequent radioiodine treatment.
    VL  - 3
    IS  - 6
    ER  - 

    Copy | Download

  • Sections