Typical histology and N0 status were important prognostic factors in carcinoid tumors. Parenchyma-sparing procedures must be considered the treatment of choice with systematic lymphadenectomy.

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Surgical excision with a safety margin is the cornerstone\ud of treatment of malignant sternal tumors. After sternal resection,\ud the primary goals of chest wall reconstruction are to\ud prevent flail chest with ventilatory impairment, protect the\ud underlying mediastinal structures, and avoid chest deformity.\ud Various techniques and several materials have been\ud used over the years for this purpose.1 This report describes\ud the use of sternal allograft to reconstruct the chest wall after\ud sternal resection

From our experience, lobectomy should still be considered as the treatment of choice in the management of second primary lung cancer, but sublobar resection remains a valid option in high-risk patients with limited pulmonary function. Completion pneumonectomy was a negative prognostic factor in long-term survival.

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