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患者男性,67岁,入院时锁骨端胸骨有鸡蛋大小肿块,质硬,有压痛,生长迅速。手术中切除胸骨柄、左锁骨内三分之一、第一,二肋骨的胸骨端。用不锈钢丝把2根各长8厘米的胫骨骨条固定在第一,二肋骨的断端间,然后把前胸壁肌肉和皮下组织向中线拉拢复盖胫骨条。皮下间隙放置一根引流管。术后无反常呼吸,康复良好,存活10个月。病理报告为未分化转移癌。原发灶末能进一步找到。作者指出胸骨肿瘤比较少见,约占胸部骨骼肿瘤中的10～15%,其恶性程度较高。多数为转移性癌,原发灶可以是甲状
The patient was male, 67 years old. When he was admitted to the hospital, there was an egg mass on the sternum of the clavicle. He was stiff, tender, and grew rapidly. The sternal stem, the inner third of the left clavicle, and the sternum ends of the first and second ribs were removed during the operation. Using stainless steel wire, two 8 cm long tibial shafts were fixed between the ends of the first and second ribs. The muscles and subcutaneous tissue of the anterior chest wall were then pulled over the midline to cover the tibial shaft. Place a drainage tube in the subcutaneous space. No abnormal breathing after surgery, recovered well and survived for 10 months. The pathology report was undifferentiated metastatic cancer. The end of the primary stove can be found further. The authors pointed out that sternal tumors are rare and account for about 10 to 15% of thoracic bone tumors, and their malignancy is high. Mostly metastatic carcinoma, the primary lesion can be thyroid