Author/Authors :
Najafi, Massoome Department of Surgery - Cancer Institute - Tehran University of Medical Sciences, Tehran , Alikhassi, Afsaneh Department of Radiology - Cancer Institute - Tehran University of Medical Sciences, Tehran , Ashouri, Mohammad Department of Surgery - Imam Khomeini Hospital - Tehran University of Medical Sciences, Tehran , Omranipour, Ramesh Department of Surgery - Cancer Institute - Tehran University of Medical Sciences, Tehran
Abstract :
Background: There has been increasing trend towards surgical treatment of
metastases across different cancer types, including breast cancer, in the recent
decade. Single metastasis of breast cancer to sternum is a rare situation.We present
a case of sternectomy for metastasis from breast cancer.
Case presentation: A 58-year-old woman with a history of modified radical
mastectomy for breast cancer 13 years earlier, presented with a mass over sternum.
Diagnostic work up revealed a mass involving sternum and no evidence of
systemic spread. She underwent resection of sternum and reconstruction of chest
wall. Pathology revealed an invasive carcinoma that was hormone receptor
positive on immunohistochemistry. Chemotherapy and radiotherapy were
delivered after surgery and hormone therapy with Letrozole was initiated. She is
disease free 37 months after surgery.
Conclusion: Surgical treatment of solitary sternal metastasis of breast cancer is
justifiable and may result in long term disease-free survival.
