Synchronous spindle cell Sarcoma of Sternum and left breast invasive Carcinoma: a case report
The sternum is a critical structure of anterior chest wall but is an uncommon site for neoplastic involvement. Speedy diagnosis and treatment of sternal neoplasia is prudent to prevent circulatory collapse from mass effect to the mediastinum. When a new sternal mass is encountered, whether it is...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Proceeding Paper |
| Language: | en en en |
| Published: |
2021
|
| Subjects: | |
| Online Access: | http://irep.iium.edu.my/97031/1/Poster%20APBCS2021%20finale.pdf http://irep.iium.edu.my/97031/7/APBCS%20_%209th%20Asia-Pacific%20Breast%20Cancer%20Summit%202021.html http://irep.iium.edu.my/97031/8/Abstract.pdf http://irep.iium.edu.my/97031/ |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | The sternum is a critical structure of anterior chest wall but is an uncommon site for
neoplastic involvement. Speedy diagnosis and treatment of sternal neoplasia is prudent to
prevent circulatory collapse from mass effect to the mediastinum. When a new sternal mass
is encountered, whether it is believed to be primary or secondary; malignancy needs to be
considered until proven otherwise since primary sternal tumour is more frequently malignant
than benign. Sternal chondrosarcoma is the most common; followed by myeloma, lymphoma
and osteosarcoma. Spindle cell sarcoma of the sternum is very rare, while invasive breast
carcinoma remains the most common form of breast cancer. However, synchronous
occurrence of sternal spindle cell sarcoma and invasive breast carcinoma is extraordinary.
Contrastingly, in the setting of a highly suspicious breast mass encountered with a concurrent
sternal mass, skeletal metastasis to the sternum is usually the first differential diagnosis to
consider though this is also uncommon. We report a 62-year-old lady with underlying
diabetes mellitus and hypertension, presented with a hard central chest wall swelling for 4-
months duration, described as increasing in size. Further clinical examination revealed a hard,
immobile sternal mass. Incidentally a small left breast lump was also palpable, whereby
subsequent mammogram and breast sonography depicted as a BIRADS 5 mass.
Histopathological examination of the sternal mass biopsy depicted a spindle cell sarcoma;
while that of the left breast biopsy revealed an invasive carcinoma. Patient underwent left
mastectomy, axillary clearance, sternal tumour resection and chest wall reconstruction. |
|---|