Radical Resection and Improvised Manubriosternal Reconstruction Technique for Solitary Manubriosternal Metastasis from Papillary Thyroid Cancer

Overview

Journal Int J Surg Case Rep

Specialty General Surgery

Date 2020 Oct 15

PMID 33059205

Authors

Ikram Ul Haq Chaudhry

Ahsan Cheema

Chaudhry Aqeel

Zahra Al Haji

Yousif A Alqahtani

Ahmad Abbas

Affiliations

Soon will be listed here.

Abstract

Introduction: Thyroid papillary carcinoma rarely present as manubriosternum metastasis. The standard treatment for patients with metastatic disease is iodine ablation therapy. A surgical resection is a good option for patients with resectable limited bony metastasis.

Case Presentation: We report a case of a 50-year-old female with thyroid gland enlargement. Positron emission tomography scan (PET) showed a solitary manubriosternal metastasis. The patient underwent total thyroidectomy and claviculo-manubriosternal en-bloc resection and improvised reconstruction using Methyl methacrylate marlex mesh plate (MMS). Post-operative recovery was uneventful, and the patient received adjuvant radioactive iodine (RAI) treatment. At five year follow up patient remained disease-free.

Conclusion: In conclusion, we report a case of papillary carcinoma of thyroid with solitary manubriosternal metastasis treated with total thyroidectomy and radical en-bloc resection of clavicular heads, manubriosternal and reconstruction by our modified reconstruction technique, which provides the best MMS plate stability, cosmoses, and good disease-free survival. In solitary bony metastasis for thyroid cancer, radical resection followed by a RAI ablation, is the best treatment modality.

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