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The Annals of Thoracic Surgery, Vol 31, 244-250, Copyright © 1981 by The Society of Thoracic Surgeons

ARTICLES

Pulsatile sternal tumor: report of three cases and a review of the literature

AS Estrera, MR Platt, LJ Mills and RR Shaw

At our institution, 3 patients with pulsatile sternal tumor have been seen. Although ascending aortic aneurysm frequently is high on the list of differential diagnoses, the likelihood that this tumor is metastatic from either a primary renal or thyroid neoplasm is overwhelming. Of the 15 patients reported, 11 had metastases from a primary renal cell carcinoma, including all 3 of our patients. There were 2 patients with primary myeloma, the only histologically proved primary pulsatile sternal tumor. From the surgical standpoint, only the patient with metastatic renal cell carcinoma has a chance of cure. With the recent report of 2 5-year survivors and our own experience of 1 patient with a long asymptomatic interval following resection of the primary kidney tumor and the secondary sternal metastasis, the attitude of hopelessness for these patients should be challenged and an aggressive approach considered.




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Copyright © 1981 by The Society of Thoracic Surgeons.