Two Unusual Tumors of the Sternum

Kinsella, Thomas J.; White, Suzanna; Koucký, Roman

doi:10.1016/s0096-5588(20)31356-8

Cited by 49 publications

(9 citation statements)

References 30 publications

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“…Urovitz et al[ 5 ] identified the body of the sternum as the commonest site of metastases with breast, lymphoma and myeloma the most prevalent primary oncological processes. This was contrary to what was previously described by Kinsella et al[ 6 ] who concluded that the manubrium was most at risk, and that thyroid, renal and breast carcinoma were the most common. These findings are summarized in Figure 1 .…”

Section: Sternal Metastases - What Is Known?contrasting

confidence: 99%

“…Sternal metastases are a rare phenomenon[ 5 , 6 ] and there is a paucity of information published regarding their incidence and also their effect on spine stability. Best medical therapy, such as external beam radiotherapy or chemotherapy, is advocated for the vast majority of cases[ 7 ] however when a pathological fracture occurs, then there is potential for delayed union and deformity.…”

Section: Introductionmentioning

confidence: 99%

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Sternal metastasis - the forgotten column and its effect on thoracic spine stability

Piggott¹,

Curtin²,

Munigangaiah³

et al. 2017

WJO

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Sternal metastases are not studied extensively in the literature. There is a paucity of information on their role in metastatic disease. The concept of the fourth column was described by Berg in 1993, and has been proven in case report, clinically and biomechanical studies. The role of the sternum as a support to the thoracic spine is well documented in the trauma patients, but not much is known about its role in cancer patients. This review examines what is known on the role of the fourth column. Following this we have identified two likely scenarios that sternal metastases may impact management: (1) sternal pathological fracture increases the mobility of the semi-rigid thorax with the loss of the biomechanical support of the sternum-rib-thoracic spine complex; and (2) a sternal metastasis increases the risk of fracture, and while being medical treated the thoracic spine should be monitored for acute kyphosis and neurological injury secondarily to the insufficiency of the fourth column.

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Section: Sternal Metastases - What Is Known?contrasting

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Sternal metastasis - the forgotten column and its effect on thoracic spine stability

Piggott¹,

Curtin²,

Munigangaiah³

et al. 2017

WJO

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“…concluded that metastatic diseases are more commonly to invade the body of the sternum; they also identified that breast cancer, lymphoma, and myeloma are the most common primary lesions as opposed to Kinsella et al ., who reported that the manubrium was at higher risk with the thyroid, renal, and breast carcinomas as the most common primary cancers. [ 5 6 ]…”

Section: Discussionmentioning

confidence: 99%

Diffuse bone metastasis from cholangiocarcinoma involving the sternum: A case report and review of literature

Singh

Chan

Kaur

et al. 2021

Int J Crit Illn Inj Sci

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Cholangiocarcinoma (CCA) is a rare cancer of the bile duct epithelial cells and it commonly spreads to the regional lymph nodes, liver, and lungs. Bone metastasis has been reported in patients with CCA, involving both the axial and appendicular skeleton. Herein, we report a case of extrahepatic CCA with extensive bone metastases involving the calvarium, sternum, bilateral ribs and scapulae, entire spine, pelvis, and bilateral femur. To our knowledge, this is the first case report on sternum metastasis in CCA. The case presentation and review of literature highlighted the rarity of this metastasis, and health-care providers should be aware of the rare presentation of CCA.

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“…Ninty-five percent of metastasis were in the body of the sternum with the commonest being breast, lymphoma and myeloma in decreasing order of frequency. Interestingly a previous survey published by Kinsella et al (1947) reported metastatic thyroid, kidney and breast malignancy being the most common, affecting the manubrium.…”

Section: Pathological Fractures Of the Sternummentioning

confidence: 99%

“…Insufficiency fractures can occur as a result of osteoporosis from various causes including in post-menopausal women, long-term steroid therapy and elderly patients (Horikawa et al, 2007). Pathological fractures can occur spontaneously without a history of trauma due to loss of bone strength (Kinsella et al, 1947;Urovitz et al, 1977), which can be seen on X-ray as osteolysis and soft-tissue swelling. An athlete undertaking repetitive upper body exercise can develop a stress fracture of the sternum without a history of a single acute traumatic episode (Robertsen et al, 1996).…”

Section: Epidemiologymentioning

confidence: 99%

Sternal fractures

Raghunathan

Porter

2009

Trauma

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Sternal fractures are relatively common and range from simple unicortical cracks to displaced fractures associated with life threatening injuries. This paper describes the relevant anatomy, biomechanics, mechanism of injury, clinical presentation, investigation, treatment and complications and also includes associated and concomitant injuries. A management flow chart including criteria for discharge from the emergency department is presented.

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Two Unusual Tumors of the Sternum

Cited by 49 publications

References 30 publications

Sternal metastasis - the forgotten column and its effect on thoracic spine stability

Sternal metastasis - the forgotten column and its effect on thoracic spine stability

Diffuse bone metastasis from cholangiocarcinoma involving the sternum: A case report and review of literature

Sternal fractures

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