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Case report
Sternal metastatectomy in a case of papillary thyroid carcinoma
  1. Sivakumar Pradeep1,
  2. Naveen Hedne1,
  3. Sivakumar Vidhyadharan1 and
  4. Santosham Rajiv2
  1. 1Head and Neck Surgical Oncology, Apollo Proton Cancer Center, Chennai, Tamil Nadu, India
  2. 2Cardiovascular and Thoracic Surgery, Apollo Proton Cancer Center, Chennai, Tamil Nadu, India
  1. Correspondence to Dr Sivakumar Pradeep; drpradeepsiva{at}


Thyroid cancer is the most common among endocrine cancers. Over 90% of all thyroid malignancies are differentiated thyroid carcinomas (DTC). However, only 2%–13% of DTC present with bone metastasis. Radioactive iodine ablation (RAI) is the treatment of choice for metastatic DTC. However, RAI therapy is not as effective in bone metastasis as it is in lung and visceral metastases. Only few cases of surgical management of bone metastasis in DTC have been reported in the literature. Here, we report a case of follicular variant of papillary thyroid carcinoma with sternal and lung metastases, for which sternal metastatectomy was performed.

  • head and neck cancer
  • endocrine cancer

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  • Contributors SP (first and corresponding author): Prepared the manuscript and was involved in patient management. NH (joint first author): Primary surgeon in patient management; involved in preparing a part of the manuscript and final approval of the manuscript. SV (second author): Involved in patient care and preparing a part of the manuscript. SR (third author): Involved in patient care, and editing and reviewing the manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer-reviewed.