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...

Highlights The article describes a clinical case of patient with metastatic breast cancer detected after aortic valve replacement. was initially treated as sternal osteomyelitis due to ministernotomy performed during surgery. However, the diagnosis and spinal (third thoracic vertebra) metastatses, ribs lesion established upon further study. Adjuvant endocrine therapy prescribed her age previous...