The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Bukharov A.V.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Derzhavin V.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Yadrina A.V.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Erin D.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Elkhov D.O.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Aliev M.D.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Surgical treatment in patients with a sternal metastatic lesion

Authors:

Bukharov A.V., Derzhavin V.A., Yadrina A.V., Erin D.A., Elkhov D.O., Aliev M.D.

More about the authors

Journal: P.A. Herzen Journal of Oncology. 2022;11(3): 25‑30

DOI: 10.17116/onkolog20221103125

Views: 1621

Downloaded: 27

Download PDF (RU)
Contact the author
Table of contents

SURGICAL TREATMENT IN PATIENTS WITH A STERNAL METASTATIC LESION
SURGICAL TREATMENT IN PATIENTS WITH A STERNAL METASTATIC LESION

To cite this article:

Bukharov AV, Derzhavin VA, Yadrina AV, Erin DA, Elkhov DO, Aliev MD. Surgical treatment in patients with a sternal metastatic lesion. P.A. Herzen Journal of Oncology. 2022;11(3):25‑30. (In Russ.)
https://doi.org/10.17116/onkolog20221103125

Подписка 2025-2 (P.A. Herzen Journal of Oncology)
МСФ на ЯМ
Close metadata
Recommended articles:
Surgical technique for aspi­ration of soft lens nucleus with preoperative femtosecond laser-assisted fragmentation. Russian Annals of Ophthalmology. 2024;(2-2):109-115
Surgical treatment of a patient with syphilitic aortitis. Piro­gov Russian Journal of Surgery. 2024;(5):123-128
Surgical treatment of idiopathic pulmonary artery aneurysm. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(3):321-328
Thoracoscopic rese­ction of recu­rrent atypically loca­ted para­thyroid adenoma of ante­rior mediastinum in a patient with hype­rparathyroidism unde­rgoing renal replacement therapy. Piro­gov Russian Journal of Surgery. 2024;(6):81-87
Surgical treatment of chondromyxoid fibroma of ribs via thoracoabdominal access. Piro­gov Russian Journal of Surgery. 2024;(6):94-99
Predicting the risk of decreased ovarian rese­rve after surgical treatment of patients with deep infi­ltrative endo­metriosis using arti­ficial inte­lligence. Russian Bulletin of Obstetrician-Gynecologist. 2024;(3):92-102
Modern treatment of perianal fistulas following Crohn’s disease. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(2):49-56
Own expe­rience of indo­cyanine green use in the diagnosis and treatment of breast cancer in N.N. Petrov NMRC of Onco­logy. Piro­gov Russian Journal of Surgery. 2024;(7):111-114
Expe­rience of indo­cyanine green use in acute calculous cholecystitis. Piro­gov Russian Journal of Surgery. 2024;(8):52-56
Surgical treatment of recu­rrent herniated discs of the lumbar spine depe­nding on risk factors. Burdenko's Journal of Neurosurgery. 2024;(4):31-37

Treatment of patients with bone metastases is one of the significant problems of modern oncology. The prognosis of a life expectancy associated with the histological pattern of a malignant tumor is the major and decisive factor in determining the appropriate surgical treatment option. According to how cancer spreads, surgery can be radical or palliative. An important task in this process is to preserve the quality of life of a patient. In this connection, reconstructive plastic surgery has become common in modern orthopedic oncology.

OBJECTIVE

To assess the results of surgical treatment in patients with sternal metastases.

MATERIAL AND METHODS

The treatment of 14 patients who had undergone surgery for metastatic lesions of sternal elements was analyzed. Kidney cancer metastases were present in most patients (n=6 (43%)). The tumor was limited to the presternum in 5 (36%) patients and only to the body of the sternum in 5 (36%); and a combined lesion of the body and manubrium of the sternum was noted in 3 (28%) patients.

RESULTS

The median survival time was 17 months. Postsurgical improvement in quality of life according to the Karnofsky and EGOG scales was observed in the majority of patients (n=30 (86%)). Tumor recurrence was identified in 1 (7%) patient at 10 months after surgery. Complications were diagnosed in 2 (14%) patients. Tactical errors were detected in 1 (7%) patient.

CONCLUSION

Active surgical tactics for sternal metastatic lesions and a favorable prognosis for cancer can improve quality of life in a patient and prolong his life in case of a solitary lesion. The use of the new BoneMetaLife program for treatment policy development will reduce the likelihood of errors in choosing a method of orthopedic oncology support and increase the efficiency of treatment.

Keywords:

chest metastases
surgical treatment
cancer prognosis

Authors:

Bukharov A.V.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Derzhavin V.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Yadrina A.V.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Erin D.A.

P.A. Herzen Moscow Oncology Research Institute, Branch, National Medical Radiology Research Center

Elkhov D.O.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Aliev M.D.

Herzen Moscow Oncology Research Institute — Branch of the National Medical Radiology Research Center

Received:

23.02.2022

Accepted:

23.03.2022

List of references:

  1. Kaprin AD, Starinsky VV, Shakhzadova AO, eds. The state of cancer care for the population of Russia in 2019. M.: MNIOI im. P.A. Gertsena — filial FGBU «NMITs radiologii» Minzdrava Rossii; 2020. (In Russ.).
  2. Ratasvuori M, Wedin R, Keller J, Nottrott M, Zaikova O, Bergh P, et al. Insight opinion to surgically treated metastatic bone disease: Scandinavian Sarcoma Group Skeletal Metastasis Registry report of 1195 operated skeletal metastasis. Surg Oncol. 2013;22:132-138.  https://doi.org/10.1016/j.suronc.2013.02.008
  3. Wang F, Zhang H, Yang L, Yang XG, Zhang HR, Li JK, Qiao RQ, Hu YC. Epidemiological Ccaracteristics of 1196 patients with spinal metastases: A retrospective study. Orthop Surg. 2019;11(6):1048-1053. https://doi.org/10.1111/os.12552
  4. Vishnevsky AA, Rudakov SS, Milanov NO. Chest wall surgery: a guide. M.: Vidar; 2005. (In Russ.).
  5. Larin IA, Tarasov VA, Khubulava GG, Gavrilov EK. Possibilities of surgical treatment of patients with extensive malignant lesions of the chest wall. Clinical Medicine. 2015;93(7):40-45. (In Russ.).
  6. Bauer HC. Controversies in the surgical management of skeletal metastases. J Bone Joint Surg Br. 2005;87(5):608-617.  https://doi.org/10.1302/0301-620X.87B5.16021
  7. Kosmin M, Padhani AR, Gogbashian A, Woolf D, Ah-See ML, Ostler P, Sutherland S, Miles D, Noble J, Koh DM, Marshall A, Dunn J, Makris A. Comparison of whole-body MRI, CT, and bone scintigraphy for response evaluation of cancer therapeutics in metastatic breast cancer to bone. Radiology. 2020;297(3):622-629.  https://doi.org/10.1148/radiol.2020192683
  8. Wang D, Bai Y, Huo Y, Ma C. FDG PET predicts the effects of 131I and prognosis for patients with bone metastases from differentiated thyroid carcinoma. Cancer Manag Res. 2020;12:13223-13232. https://doi.org/10.2147/CMAR.S284188
  9. Liu D, Wu J, Lin C, Andriani L, Ding S, Shen K, Zhu L. Breast subtypes and prognosis of breast cancer patients with initial bone metastasis: A population-based study. Front Oncol. 2020;10:580112. https://doi.org/10.3389/fonc.2020.580112
  10. Ehne J, Tsagozis P. Current concepts in the surgical treatment of skeletal metastases. World J Orthop. 2020;11(7):319-327.  https://doi.org/10.5312/wjo.v11.i7.319
  11. Aliev MD. Oncoorthopedics yesterday, today, tomorrow. Bulletin of the Moscow Oncological Society. 2013;5:3-4. (In Russ.).
  12. Bukharov AV, Derzhavin VA, Erin DA, Yadrina A, Aliev MD. Surgical treatment of metastatic lesions of the pelvic bones. Sovremennaya onkologiya. 2020;22(4):72-76. (In Russ.).
  13. Lun DX, Xu LN, Wang F, Yang XG, Yu XC, Zhang GC, Hu YC. Prognostic differences in patients with solitary and multiple spinal metastases. Orthop Surg. 2019;11(3):443-450.  https://doi.org/10.1111/os.12470
  14. Pradeep S, Hedne N, Vidhyadharan S, Rajiv S. Sternal metastatectomy in a case of papillary thyroid carcinoma. BMJ Case Rep. 2020;13(10):e235967.
  15. Ryan C, Stoltzfus KC, Horn S, Chen H, Louie AV, Lehrer EJ, Trifiletti DM, Fox EJ, Abraham JA, Zaorsky NG. Epidemiology of bone metastases. Bone. 2020;158:115783. https://doi.org/10.1016/j.bone.2020.115783
  16. Forsberg JA, Eberhardt J, Boland PJ, Wedin R, Healey JH. Estimating survival in patients with operable skeletal metastases: An application of a Bayesian belief network. PLoS One. 2011;6:e19956. https://doi.org/10.1371/journal.pone.0019956
  17. Bukharov AV, Aliev MD, Derzhavin VA, Yadrina AV. Strategy for personalized surgical treatment of cancer patients with bone metastases. P.A. Herzen Journal of Oncology. 2020;9(3):61-5. (In Russ.). https://doi.org/10.17116/onkolog2020903161
  18. Hernandez RK, Wade SW, Reich A, Pirolli M, Liede A, Lyman GH. Incidence of bone metastases in patients with solid tumors: analysis of oncology electronic medical records in the United States. BMC Cancer. 2018;18(1):44.  https://doi.org/10.1186/s12885-017-3922-0
  19. Katagiri H, Okada R, Takagi T, Mitsuru Takahashi, Murata H, Harada H, Nishimura T, Asakura H, Ogawa H. New prognostic factors and scoring system for patients with skeletal metastasis. Cancer Med. 2014;3:1359-1367.
  20. Mandal CC. Osteolytic metastasis in breast cancer: effective prevention strategies. Expert Rev. Anticancer Ther. 2020;20(9):797-811.  https://doi.org/10.1080/14737140.2020.1807950

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.