The possible reasons for the pain in the middle of sternum are: trauma, infiltration of malignant tumor in blood system, primary malignant tumor, metastasis of malignant tumor, costochondritis, and so on.
1. Trauma: Violent blows to the chest can cause local soft tissue injury, bone contusion or even sternal fracture and thus the pain in the middle of the sternum, and patients usually have a clear history of trauma.
2. Hematologic malignant tumor infiltration: Hematologic malignant tumors can infiltrate the bone marrow of the sternum and cause symptoms of sternal pressure and pain, which is common in leukemia, but also in lymphoma and multiple myeloma.
3. Primary malignant tumors: primary malignant bone tumors including osteosarcoma, chondrosarcoma, Ewing’s sarcoma, etc. can also cause pain in the middle of sternum.
4. Metastatic tumor: other malignant tumors can also occur in sternal or rib metastasis and cause middle sternal pain and pressure pain.
5. Costal chondritis: costal chondritis is the inflammation of cartilage at the junction of ribs and sternum, which can be divided into septic costal chondritis and non-specific costal chondritis.
It is recommended to go to the hospital as soon as possible to find out the cause of the pain in the middle of the sternum, and then give targeted treatment.