case_images: PMC10277560_01
case_images: Computed tomography with three-dimensional reconstruction revealed a heterogeneous, cystic bony lesion limited to the manubrium sterni.
case_images: fsurg-10-1151921-g001.jpg
case_images: PMC10277560_01_fsurg-10-1151921-g001.jpg
case_images: F1
case_images: The cortices were eroded, and the maximum diameter of the lesion was 3 cm (Figure 1).
case_images: (A) Skin incision planning. (B) En-bloc resection of the manubrium sterni; upper part of the corpus sterni; first, second, and third bilateral parasternal ribs; and the medial clavicles, whose stumps were fixed on the first ribs. 1. Manubrium sterni tumor; 2. Second left rib; 3. Third left rib; 4. Mediastinal fat; 5. Right lung. (C) Musculocutaneous flaps covering chest wall reconstrauction.
case_images: fsurg-10-1151921-g002.jpg
case_images: PMC10277560_01_fsurg-10-1151921-g002.jpg
case_images: F2
case_images: The manubrium sterni was removed together with the upper part of the corpus sterni; its cutaneous covering; the medial first, second, and third bilateral parasternal ribs; and the medial clavicles to achieve a sufficient resection margin (Figure 2).
case_images: (A) Computed tomography revealed more narrowing at the level of the vein on the left side (5 mm) than the right side (11 mm). (B) Three-dimensional reconstruction indicating loss of contrast over the subclavian vein due to delayed opacification, secondary to stenosis.
case_images: fsurg-10-1151921-g003.jpg
case_images: PMC10277560_01_fsurg-10-1151921-g003.jpg
case_images: F3
case_images: The space at the level of the artery was symmetrical, with a 10 mm distance on both sides (Figures 3A,B).