Wide Composite Resection of Sternal Metastasis & Reconstruction Using Titanium Mesh Implant and Myocutaneous Flap in Differentiated Thyroid Carcinoma: Case Report of Two Cases

Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):1347-1350. doi: 10.1007/s12070-023-04326-8. Epub 2023 Nov 10.

Abstract

Differentiated Thyroid carcinoma (DTC) with distant skeletal metastases is associated with a very poor prognosis and are unfortunately resistant to radioiodine therapy (RIT). Surgical removal of the metastases in such selected cases is a beneficial adjunct to RIT. We report two cases of DTC with sternal metastases whom we successfully managed with surgical resection of the sternal lesion with reconstruction of the chest wall defect using titanium mesh implant and myocutaneous flap.

Keywords: Differentiated thyroid carcinoma; Mesh; Myocutaneous flap; Sternal metastases.