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Joseph Amato
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Ann Thorac Surg 1989;48:428-431
© 1989 The Society of Thoracic Surgeons

Articles

Controversies in Management of Sternal Tumors

Shlomo Gabbay, MD*, Robert D. Bennett, MD, Joseph Amato, MD, Eugene J. Cherny, MD

Departments of Cardiothoracic Surgery and Plastic Surgery, University of Medicine and Dentistry of New Jersey, Newark, New Jersey

* Address reprint requests to Dr Gabbay, Section of Cardiothoracic Surgery, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, 100 Bergen St, Room G502, Newark, NJ 07103

The rarity of sternal tumors makes a good comparative study a difficult task. Controversies exist on questions of method of surgical diagnosis, the extent of the surgical procedure, and the different ways and means of reconstruction. We describe a case that was believed to be a clear case of chondrosarcoma but was actually a plasmacytoma. From the evidence of this case and a review of the literature we conclude that almost any plasmacytoma should be considered generalized multiple myeloma. Biopsy should be performed in all cases of sternal tumor before any surgical action is taken.




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