Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases
Follicular thyroid carcinoma (FTC) with sternum metastasis is rarely reported. Conservative treatments always result in a poor prognosis. We report two cases of FTC presenting with a large symptomatic solitary metastatic lesion in the sternum. Surgical intervention included total thyroidectomy, comb...
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doaj-37a7a2bce51145c29d15abaaabefef9e2020-11-25T00:22:41ZengElsevierAsian Journal of Surgery1015-95842013-07-0136313013310.1016/j.asjsur.2012.05.001Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two casesYen-Chou Chen0Ngian-Chye Tan1Hung-I. Lu2Shun-Chen Huang3Fong-Fu Chou4Yur-Ren Kuo5Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Cardiovascular and Thoracic Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Anatomic Pathology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of General Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanDepartment of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, TaiwanFollicular thyroid carcinoma (FTC) with sternum metastasis is rarely reported. Conservative treatments always result in a poor prognosis. We report two cases of FTC presenting with a large symptomatic solitary metastatic lesion in the sternum. Surgical intervention included total thyroidectomy, combined with wide composite resection of the sternal manubrium, as well as the adjacent clavicular head and ribs. A large defect with exposed pericardium and great vessels was found post resection in both cases. Because the ipsilateral vessels were sacrificed, a contralateral extended pedicled pectoralis major adipofascial flap was designed and transposed to cover the underlying vital organs. The patients received both adjuvant I-131 and radiotherapy postoperatively. The treatment was uneventful, and the patients are well and asymptomatic 5 years after the treatment. Wide composite resection and appropriate adjuvant therapies may offer a survival benefit in patients with advanced FTC with sternum metastasis.http://www.sciencedirect.com/science/article/pii/S1015958412000504follicular thyroid carcinomapectoralis major myoadipofascial flapsternum metastasis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Yen-Chou Chen Ngian-Chye Tan Hung-I. Lu Shun-Chen Huang Fong-Fu Chou Yur-Ren Kuo |
spellingShingle |
Yen-Chou Chen Ngian-Chye Tan Hung-I. Lu Shun-Chen Huang Fong-Fu Chou Yur-Ren Kuo Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases Asian Journal of Surgery follicular thyroid carcinoma pectoralis major myoadipofascial flap sternum metastasis |
author_facet |
Yen-Chou Chen Ngian-Chye Tan Hung-I. Lu Shun-Chen Huang Fong-Fu Chou Yur-Ren Kuo |
author_sort |
Yen-Chou Chen |
title |
Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases |
title_short |
Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases |
title_full |
Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases |
title_fullStr |
Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases |
title_full_unstemmed |
Wide composite resection of follicular thyroid carcinoma with metastases to sternum: Report of two cases |
title_sort |
wide composite resection of follicular thyroid carcinoma with metastases to sternum: report of two cases |
publisher |
Elsevier |
series |
Asian Journal of Surgery |
issn |
1015-9584 |
publishDate |
2013-07-01 |
description |
Follicular thyroid carcinoma (FTC) with sternum metastasis is rarely reported. Conservative treatments always result in a poor prognosis. We report two cases of FTC presenting with a large symptomatic solitary metastatic lesion in the sternum. Surgical intervention included total thyroidectomy, combined with wide composite resection of the sternal manubrium, as well as the adjacent clavicular head and ribs. A large defect with exposed pericardium and great vessels was found post resection in both cases. Because the ipsilateral vessels were sacrificed, a contralateral extended pedicled pectoralis major adipofascial flap was designed and transposed to cover the underlying vital organs. The patients received both adjuvant I-131 and radiotherapy postoperatively. The treatment was uneventful, and the patients are well and asymptomatic 5 years after the treatment. Wide composite resection and appropriate adjuvant therapies may offer a survival benefit in patients with advanced FTC with sternum metastasis. |
topic |
follicular thyroid carcinoma pectoralis major myoadipofascial flap sternum metastasis |
url |
http://www.sciencedirect.com/science/article/pii/S1015958412000504 |
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