Sternal metastasis: first manifestation of an adenocarcinoma of the kidney

Authors

  • Margarida González-Onandia López Interna do Internato Complementar de Cirurgia Geral do Centro Hospitalar de Setúbal, Portugal
  • Mário Rui Matias Assistente Hospitalar de Urologia do Centro Hospitalar de Setúbal, Portugal
  • Carlos Quintana Assistente Hospitalar de Anatomia Patológica do Centro Hospitalar de Setúbal, Portugal
  • Conceição Azeda Assistente Hospitalar de Cirurgia Plástica e Reconstrutiva do Centro Hospitalar de Setúbal, Portugal
  • Manuel Vieira Assistente Graduado de Cirurgia Plástica e Reconstrutiva do Centro Hospitalar de Setúbal, Portugal
  • Vítor Sá Vieira Assistente Graduado de Cirurgia Torácica do Hospital CUF Descobertas, Portugal
  • Rosário Eusébio Assistente Graduada de Cirurgia Geral do Centro Hospitalar de Setúbal, Portugal
  • Vítor Rocha Assistente Graduado de Cirurgia Geral do Centro Hospitalar de Setúbal, Portugal
  • Luís Mendonça Ferreira Chefe de Serviço de Cirurgia Geral do Centro Hospitalar de Setúbal, Portugal

Abstract

Chest wall tumors (primary or metastatic), are an uncommon pathology, responsible for less than 1% of all neoplasias. Only 15% are localized in the sternum, becoming unusual when one metastasis in that localization constitutes the first manifestation of a primary tumor. We present a clinical report of a 55-year old man, that came to our Consultation for the sudden onset (after a physical effort), of a sternal mass. The investigation of the mass led to the diagnosis of the primary tumor, localized in the kidney. Up to 30% of patients with renal cell carcinoma present with metastasis at the time of diagnosis, located mainly in the lung, lymph nodes and bone (specially in the spine, iliac bones or femur, being sternal metastasis very uncomon).

Key words: bone metastasis, sternal metastasis, renal cell cancer. 

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Published

2008-09-27

Issue

Section

Clinical Case

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