Sternum resection and reconstruction for metastatic renal cell cancer

A 62-year-old male with bilateral renal cell carcinomas underwent bilateral nephrectomies. Following which he continued hemodialysis. He was admitted to our hospital with a small sternal mass present for 10 months. The operation consisted of sternectomy with right 4th costal cartilage resection and sternal reconstruction with Prolene mesh and methylmethacrylate. Postoperative course was uneventful and his respirations were normal without paradoxical movement of the thorax or hypoxemia. He is currently well and being followed up as an out patient.