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Sternal resection for primary or secondary tumors
M Incarbone1, M Nava, C Lequaglie
1Division of Thoracic Surgery, Istituto Nazionale Tumori, Milan, Italy.
The Journal of Thoracic and Cardiovascular Surgery
|July 1, 1997
Summary
Surgical resection of sternal tumors is a safe and effective treatment. This procedure can lead to long-term survival for patients with primary and secondary sternal malignancies.
Area of Science:
- Thoracic surgery
- Surgical oncology
- Oncology
Background:
- Tumors involving the sternum present unique surgical challenges.
- A variety of primary and secondary malignancies can affect the sternum.
Purpose of the Study:
- To evaluate the safety and efficacy of surgical resection for sternal tumors.
- To assess long-term survival outcomes following sternal tumor resection.
Main Methods:
- A retrospective review of 52 patients who underwent surgical resection for sternal tumors between 1980 and 1993.
- Resection types included total, subtotal, and partial sternectomy, often with en bloc removal of adjacent structures.
- Chest reconstruction utilized prosthetic materials and myocutaneous flaps.
Main Results:
- No perioperative deaths were reported.
- The overall 3-year and 5-year survival rates were 58% and 46%, respectively.
- Five-year survival was higher for primary tumors (63%) compared to secondary invasion (38%).
Conclusions:
- Sternal resection is a safe and effective treatment for sternal tumors.
- The procedure can improve quality of life and achieve long-term survival.
- Selected cases of secondary malignant tumors of the sternum can also benefit from this approach.