Follicular thyroid cancer with sternal metastasis - challenges and outcomes
- Author:
Muhammad Adi Syazni
;
Hardip Singh Gendeh
;
Nik Ritza Kosai
;
Mohd Ramzisham Abdul Rahman
;
Balwant Singh Gendeh
;
Normala Basiron
;
Farrah Hani Imran
- Publication Type:Case Reports
- Keywords:
Wound healing;
reconstruction;
sternal metastases;
surgical site infection;
infected implant;
surgical emphysema
- MeSH:
Adenocarcinoma, Follicular
- From:
The Medical Journal of Malaysia
2017;72(1):80-82
- CountryMalaysia
- Language:English
-
Abstract:
Sternal metastasis from differentiated thyroid carcinoma
(DTC) is rare and presents a conundrum for surgeons. We
present a lady diagnosed with follicular thyroid carcinoma
and sternal metastasis who underwent thyroidectomy,
sternectomy and sternoplasty with titanium mesh and
acrylic plate. She developed a surgical site infection, of
which multiple conservative approaches were attempted.
She eventually required removal of the implant. Closure of
sternal defect was completed with bilateral pectoralis major
advancement flaps. This article highlights a series of
complications faced during the course of treatment and how
they were managed in a tertiary healthcare centre.
- Full text:P020170306440115071989.pdf
