How would you approach a new solitary sternal metastasis for a triple positive breast cancer 1 year after hypofractionated breast radiation?

These are increasingly common scenarios in our practices. The first step would be systemic staging to ensure that this is a solitary metastatic site or there is limited metastatic disease. I would have the patient evaluated by medical oncology to discuss systemic therapy options for this triple posi...

So called solitary sternal metastases are often internal mammary nodes growing into the sternum. The imaging studies should be reviewed with this in mind, as well as the initial status of the patient at the time of diagnosis, with respect to primary location, nodal status, etc. If it appears that th...