case_images: PMC5566894_01
case_images: Positron emission tomography-computed tomography examination of metabolically active sternal tumor (white circle: maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =3.5).
case_images: ott-10-4099Fig1.jpg
case_images: PMC5566894_01_ott-10-4099Fig1.jpg
case_images: f1-ott-10-4099
case_images: Positron emission tomography was performed (Figure 1) which revealed metabolically active changes (sternal tumor maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =3.5, pulmonary tumor maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =13.6).
case_images: 3D model of the implant prepared based on software program including the date of the patient's computed tomography scan.
case_images: ott-10-4099Fig2.jpg
case_images: PMC5566894_01_ott-10-4099Fig2.jpg
case_images: f2-ott-10-4099
case_images: Processing tomography with consideration to a planned resection range and after designer's consultation with a surgeon, the final 3D implant was created (Figure 2).
case_images: Intraoperative picture: 3D sternal implant filling the defect after tumor resection fixed to bone scaffolds by titanium plates.
case_images: ott-10-4099Fig3.jpg
case_images: PMC5566894_01_ott-10-4099Fig3.jpg
case_images: f3-ott-10-4099
case_images: The implant adjusted to the defect was fixed to the clavicles, sternum and ribs with the help of titanium rib plates (Figure 3).
case_images: Skin scar 3 months after the operation.
case_images: ott-10-4099Fig4.jpg
case_images: PMC5566894_01_ott-10-4099Fig4.jpg
case_images: f4-ott-10-4099
case_images: During next months of follow-up, the patient denied any pains related to the sternum, and returned to his profession as a teacher (Figure 4).