Sternal osteosarcoma

Case contributed by Dr Avni K P Skandhan

Presentation

Painful sternal swelling

Patient Data

Age: 65 years
Gender: Male
Modality: CT

Expansile, lytic, enhancing soft tissue mass seen destroying the entire sternum with intrathoracic extent, involvement of costochondral cartilages and seen to extent up to the skin.

Case Discussion

Sternal osteosarcoma is a relatively rare entity. It is seen most often in elderly patients. It is seen to occur as secondary lesions in patients with previous radiation therapy ; however that was not the case in ours. Patient usually presents as a painful mass. The survival rate is about 15%.

Radiographically, sternal osteosarcoma appears as a masslike lesion that consists of bone and soft tissue and contains areas of osteolytic change, calcification, and osteoid matrix .

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Case Information

rID: 25483
Case created: 27th Oct 2013
Last edited: 7th Oct 2015
Inclusion in quiz mode: Included

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