[症例報告]Leiomyosarcoma of the chest wall : A case report

Autor: Nagahama, Masayoshi, Okushima, Norihiko, Nakachi, Hiromichi, Nakahara, Yasuo, Tengan, Isamu, Nakama, Ken, Kiyuna, Masaya, Toda, Takayoshi, Muto, Yoshihiro
Jazyk: angličtina
Rok vydání: 1996
Předmět:
Zdroj: 琉球医学会誌 = Ryukyu Medical Journal. 16(3):131-134
ISSN: 1346-888X
Popis: Leiomyosarcoma of the chest wall is a rare, but well recognozed clinical entity. We describe a case with leiomyosarcoma which was diagnosed by the use of immunohistochemical and electron microscopic studies. A 81 -year-old woman developed a large firm tumor in her right lateral chest wall in October, 1994. A chest X-ray showed osteolytic changes in the 8th rib embedded in the tumor. A CT scan revealed a tumor arising from the chest wall along with a destroyed rib, thus indicating the tumor to be malignant. A radical resection of the tumor leaving a-3 cm free margin in the chest wall was performed. Reconstruction of the chest wall defect was performed using prosthetic material (Marlex mesh). The tumor measured 6 X 6 X 4 cm in size. The cut surface was gray-white in color and firm with a whorled appearance. The pathological examination (routine histology, immunohistochemistry, and electron microscopy) confirmed the diagnosisof leiomyosarcoma arising from the chest wall. The patient is doing well, disease-free and currently in her 5th month after surgery.
論文
Databáze: OpenAIRE