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Dermatofibrosarcoma protuberans (DFSP) is a rare soft tissue malignancy which is locally aggressive, slow growing. It has a very low metastatic potential and has high risk of local recurrence. We report a 65-year-old man with recurrent DFSP of thigh with pancreatic metastasis. Apart from our patient, only four other cases of pancreatic metastasis of DFSP have been reported. Our patient had a solitary metastasis to pancreas and was treated with distal pancreaticosplenectomy. Outcome of the patient was good. We present this case report to emphasise that resection may be considered for solitary metastasis of DFSP and can be managed successfully.

A case of giant cell tumour replacing the entire sternum for which total Sternectomy with B/L sternoclavicular joint excision was carried out. This procedure has been done for the first time in the literature. The clinical data are summarized and the surgical technique has been described. After Sternectomy the area of resection was reconstructed with stainless steel plates and screws, prolene mesh and poly methyl methacrylate which assured stability of the chest wall. We discussed the method of reconstruction, technical details and outcome of the procedure in terms of complications and the return of the preoperative level of function. KEYWORDSSternectomy, Giant Cell Tumour of Sternum, Sternal Tumours. HOW TO CITE THIS ARTICLE:Soundararajan JCB, Subbiah P, Rajendran R, et al. Total sternectomy with bilateral sternoclavicular joint excision for giant cell tumour sternum.

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