Case Reports in Oncology (Feb 2024)

Resection of Renal Cell and Prostate Carcinoma Sternum Metastases with Long-Term Follow-Up: A Report of 2 Cases

  • Pascal A. Berdat,
  • Paul R. Vogt,
  • Pascal A. Schai,
  • Michael O. Kurrer,
  • Christian Rüedi,
  • Michael B. Brück,
  • G. Ulrich Exner

DOI
https://doi.org/10.1159/000536350
Journal volume & issue
Vol. 17, no. 1
pp. 352 – 360

Abstract

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Introduction: Rarely solitary sternum metastases are addressed by resection. Two additional cases are presented as they are interesting because of their long-term follow-up. Case Presentation: Case 1: A renal cell carcinoma was treated by transabdominal nephrectomy at age 64. Right iliac bone and sternum metastases were diagnosed 7 months later and treated by internal hemipelvectomy followed by sternum metastasectomy 6 weeks after the internal hemipelvectomy. At 12-year follow-up, the patient appears disease free. Case 2: Prostate cancer was treated by prostatectomy at age 67. A subsequent solitary sternum metastasis was resected 10 years later for persistent PSA-activity despite repeated radiotherapy. The patient remains asymptomatic for 3 years now. Conclusion: Resection of sternum metastases may have curative potential and should be considered in tumours known to be rather resistant to chemo- and/or radiotherapy.

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