Metastases from melanoma have a very poor prognosis for the patient. Single metastatic lesions in the sternum due to melanoma are extremely rare. A rare case of a presternal mass in a 56-year-old patient who had undergone excision for malignant melanoma is presented. Review of the patient's history and surgical resection of a single metastatic soft tissue lesion offer the best chance of long-te...

recent books on hsematological technique \!ere is often no reference to the possibility of sepsis manubnum sterni, following sternal puncture. , When sternal puncture first came into common use 0r hematological and kala-azar investigations, two ases in my wards at the Mayo Hospital, Lahore, eveIoped septic infections of the bone marrow and steomyelitis of the manubrium, leading to long and seno...

To the Editor: Metastatic prostate carcinoma (PC) may not only present without increased serum levels of prostate specific antigen, as we have reported in a letter published in the present issue of HJNM, but it may also present as a solitary clavicle metastasis. Such a case we describe in this letter as follows: A 67 year old retired married male worker, with diagnosed PC had undergone 3-dimens...

Sternal infection has become a rare but challenging problem with significant mortality and morbidity rates since the introduction of sternotomy. Reported rates of mediastinal and sternal infection range from 0.4% to 5%. The ideal reconstruction after sternal debridement is still controversial. Different methods, such as debridement and open packing with continuous antibiotic irrigation, or ster...

This case report is on a obese patient who underwent a coronary artery bypass. The immediate postoperative phase, on the 8th day, was characterized by sternal dehiscence with diastasis, from intense coughing. At present, for obese patients there are not any guidelines aimed to prevent the sternal diastasis. The use of a sternum support vest after median sternotomy could be a valuable tool in th...