Abstract
Breast cancer frequently metastasizes to the bone. When the sternum is involved, it usually presents as a solitary lesion. In such cases, resection is indicated, including with the intention to cure. This case report describes a technique for a complete exeresis of the sternum, ex vivo repair under hypothermia, and reimplantation. Cryosurgery is a well-known technique to resect bone metastases and was the procedure used in our patient. The follow-up after 2 years shows no evidence of tumor recurrence, with excellent results on aesthetic levels.
Copyright © 2011 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
MeSH terms
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Antineoplastic Combined Chemotherapy Protocols / therapeutic use
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Biopsy, Needle
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Bone Neoplasms / diagnosis
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Bone Neoplasms / drug therapy
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Bone Neoplasms / pathology
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Bone Neoplasms / secondary*
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Breast Neoplasms / drug therapy
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Breast Neoplasms / pathology*
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Breast Neoplasms / surgery
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Carcinoma, Ductal, Breast / drug therapy
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Carcinoma, Ductal, Breast / pathology
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Carcinoma, Ductal, Breast / secondary*
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Carcinoma, Ductal, Breast / surgery*
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Chemotherapy, Adjuvant
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Cryosurgery / methods
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Cyclophosphamide / administration & dosage
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Doxorubicin / administration & dosage
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Female
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Fluorouracil / administration & dosage
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Follow-Up Studies
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Humans
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Hypothermia, Induced / methods*
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Mastectomy
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Middle Aged
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Neoplasm Staging
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Radionuclide Imaging
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Replantation / methods*
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Sternum / diagnostic imaging
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Sternum / pathology
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Sternum / surgery*
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Tamoxifen / administration & dosage
Substances
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Tamoxifen
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Doxorubicin
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Cyclophosphamide
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Fluorouracil