Wood A J, Wood J R, Corrin B, Paneth M
Postgrad Med J. 1983 Jun;59(692):384-5. doi: 10.1136/pgmj.59.692.384.
A 62-year-old man undergoing coronary artery bypass grafting sustained profuse unexplained haemorrhage during sternal diathermy before sternotomy. Histology of tissue from the sternum suggested metastatic renal carcinoma. A primary renal tumour was subsequently identified. Sternal metastases are rare, often highly vascular, and arise particularly from thyroid or renal tumours. In the absence of angiographic evidence of an eroding aortic aneurysm, sternal metastases represent the most likely cause of unexplained haemorrhage during sternotomy.
一名62岁接受冠状动脉搭桥术的男性在胸骨切开术前进行胸骨电灼时出现大量不明原因出血。胸骨组织学检查提示转移性肾癌。随后发现了原发性肾肿瘤。胸骨转移瘤罕见，通常血管丰富，尤其起源于甲状腺或肾肿瘤。在没有血管造影证据显示存在侵蚀性主动脉瘤的情况下，胸骨转移瘤是胸骨切开术期间不明原因出血最可能的原因。
