Sternal metastasis from differentiated thyroid carcinoma (DTC) is rare and presents a conundrum for surgeons. We present a lady diagnosed with follicular thyroid carcinoma and sternal metastasis who underwent thyroidectomy, sternectomy and sternoplasty with titanium mesh and acrylic plate. She developed a surgical site infection, of which multiple conservative approaches were attempted. She eventually required removal of the implant. Closure of sternal defect was completed with bilateral pectoralis major advancement flaps. This article highlights a series of complications faced during the course of treatment and how they were managed in a tertiary healthcare centre.
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Article Synopsis
- * Neoplastic fever (NF) is a rare fever associated with malignant tumors, and in this case, it presented in an unusual manner in a patient with UPS who had refractory fever and systemic inflammation.
- * A 58-year-old male patient with UPS-NF had a history of fever of unknown origin and was treated with chemotherapy and surgery, but ultimately experienced poor outcomes, including metastasis and additional paraneoplastic symptoms.
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