Subramanian Innovation Award Abstracts

invasive approach for a solitary upper retrosternal thyroid cancer metastasis with upper hemisternotomy. Results: A 57 year old active gentleman, previously underwent cervical par-tial thyroidectomy, cervical reresection and irradiation. He presents with chest discomfort. CTPET demonstrated a 3x3x4 cm mass on the right upper sternal undersurface. UH was performed into the right third intercostal space. A single arm of the Favoloro retractor allowed gradual elevation of the right upperhemisternum. The mass was dark grey, flat, densely adherent to the sternum, 5 mm to the right of the median sternotomy, overlying the first intercostral space and first rib articulation. The periostium and inner table of the manubrium were excised with the mass intact. He was discharged home on POD#2. Conclusions: In summary, rare isolated thyroid cancer bony metastases may present in the sternum. Surgical extirpation is associated with improved survival in a subgroup of patients with distant metastases limited to the bones. The upperhemi sternotomy approach is feasible, safe with excellent quality of life even in the presence of rerecurrence and radiation.