PMC5566894_01
Positron emission tomography-computed tomography examination of metabolically active sternal tumor (white circle: maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =3.5).
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Positron emission tomography was performed (Figure 1) which revealed metabolically active changes (sternal tumor maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =3.5, pulmonary tumor maximum standardized uptake value of fluorine 18 fluorodeoxyglucose =13.6).
3D model of the implant prepared based on software program including the date of the patient's computed tomography scan.
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Processing tomography with consideration to a planned resection range and after designer's consultation with a surgeon, the final 3D implant was created (Figure 2).
Intraoperative picture: 3D sternal implant filling the defect after tumor resection fixed to bone scaffolds by titanium plates.
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The implant adjusted to the defect was fixed to the clavicles, sternum and ribs with the help of titanium rib plates (Figure 3).
Skin scar 3 months after the operation.
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During next months of follow-up, the patient denied any pains related to the sternum, and returned to his profession as a teacher (Figure 4).