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Primary sternal tumours.

J Eng1, S Sabanathan, G N Pradhan

  • 1Department of Cardiothoracic Surgery, Bradford Royal Infirmary, England.

Scandinavian Journal of Thoracic and Cardiovascular Surgery
|January 1, 1989
PubMed
Summary
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This study reviewed nine primary sternal tumors, finding wide excision crucial for all sternal tumors. Early diagnosis and surgical intervention improve outcomes for these rare chest wall neoplasms.

Area of Science:

  • Thoracic Surgery
  • Surgical Oncology
  • Pathology

Background:

  • Primary sternal tumors are rare, posing diagnostic and therapeutic challenges.
  • Cartilaginous tumors are the most common type of sternal neoplasms.
  • Accurate preoperative assessment is vital for effective management.

Purpose of the Study:

  • To review clinical, radiologic, and surgical features of primary sternal tumors.
  • To evaluate treatment outcomes for various sternal tumor types.
  • To establish optimal surgical strategies for sternal neoplasms.

Main Methods:

  • Retrospective review of nine primary sternal tumor cases.
  • Analysis of clinical presentation, imaging (including computed tomography), and surgical procedures.

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  • Evaluation of patient outcomes, including recurrence and survival rates.

    • Main Results:

    • Tumor types included chondrosarcoma (4), chondroma (3), solitary plasmacytoma (1), and osteochondroma (1).
    • Benign lesions were successfully excised with no recurrence.
    • Radical excision of sternal chondrosarcoma offered a 5-year survival rate of 66.7% in this series.
    • One chondrosarcoma required local excision due to extensive local invasion.

    Conclusions:

    • Wide excision is the recommended surgical approach for all sternal tumors due to potential difficulty in differentiating benign from malignant cartilaginous lesions.
    • Preoperative computed tomography is essential for thorough assessment.
    • Timely and appropriate surgical intervention is critical for managing primary sternal tumors.