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135
This 42-year-old woman had generalized lymphadenopathy, hepatosplenomegaly, and several hard, nonpainful, sternalmasses.
136
This 60-year-old man had hematuria and a pulsatile sternal mass.
137
This 63-year-old man had a large, rounded, nontender, firm mass in the area of the right sternoclavicular joint. He wasafebrile but had anemia, proteinuria, and renal insufficiency.
138
This 76-year-old woman presented with jaundice and a mass in the upper part of her sternum.
Metastatic to the sternum.
With plasmacytoma involving the right sternoclavicular joint.
Metastatic to the sternum.
Most sternal masses represent metastases. The primary tumor is usually lymphoma, multiple myeloma, or carcinoma of the breast,kidney, or thyroid. Pulsation of the mass strongly suggests multiple myeloma or metastases from renal or thyroid carcinoma.
Primary sternal tumors are almost always malignant and typically are chondrosarcomas.
In some cases, sternal swelling signals infection (e.g., tuberculosis, coccidioidomycosis, aspergillosis, brucellosis, andstaphylococcal or pseudomonal disease).
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