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ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología

2009, Number 5

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Acta Ortop Mex 2009; 23 (5)

Aneurysmatic cyst of the manubrium sterni: Case report and literature review

Cosío-Lima L, Cosío PM, Monges-Nicolau A

Language: Spanish
References: 50
Page: 306-310
PDF size: 85.53 Kb.


ABSTRACT

We report the case of a 62-year-old patient with an aneurysmatic manubrium sterni cyst. According to the literature reviewed, this is an extremely rare case. The patient was referred to the cardiothoracic surgery service by physicians of a remote rural clinic, with a diagnosis of ascending aortic aneurysm of probable luetic etiology. The aortography and the lab (VDRL) ruled out this possibility. Two biopsy punctures were needed to find the histologic elements that could guide the final diagnosis. The medical-surgical committee decided to refer the patient to Oncology for first-line radiation therapy. As a result of treatment, by week 4 the lesion had decreased 75-80% in size and was not throbbing any more. The patient had a slightly irregular residual mass, with a fibrous consistence but not painful nor limiting of function. The case was followed-up every three months for two years. By the end of this period no change nor sign of lesion recurrence were reported. According to the literature reviewed, this is the second case reported in this location.


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