In 1966, each of two elderly men had a nephrectomy for a small hypernephroma of the left kidney and an excision of the manubrium of the sternum for an apparently solitary pulsating metastasis. More than five years later, both patients are alive, and after careful follow-up examinations, found to be asymptomatic and without evidence of residual or recurrent tumor. To our knowledge, these are the first reported five-year survivors following subtotal resection of the sternum for a metastatic lesion. Although most sternal metastases should not be resected because of widespread disease, these two cases demonstrate that subtotal sternal resection may be helpful for an apparently solitary metastasis, particularly from a renal cell carcinoma.
Yale CE, Wear JB. Subtotal Sternal Resection for Metastatic Renal Cell CarcinomaFive-Year Survival. Arch Surg. 1972;105(1):87-89. doi:10.1001/archsurg.1972.04180070085018