435 results on '"Chest Wall Tumor"'
Search Results
102. Chest wall tumor tuberculosis in Indonesian adolescent: A rare case.
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Herawati, Asih, Nugraha, Jusak, Winarno, Dhihintia Jiwangga Suta, and Rizki, Mohamad
- Abstract
Extrapulmonary tuberculosis has increased in the last few decades, and establishing a diagnosis is still challenging. A 15 years old Indonesian adolescent complained of a lump on the right lung. The patient and his mother had a history of pulmonary tuberculosis and received the anti-tuberculosis drug. Chest inspection showed a soft consistency mass, smooth surface, poorly defined borders, and size of 7 × 7 cm in the posterolateral dextra region. Radiological examination showed a mass of 2 × 2.5 × 5.3 cm in the right anterior mediastinum. FNAB lymph nodes showed granulomatous inflammation consistent with tuberculosis. The patient had a wide excision tumor, and a GeneXpert MTB/RIF examination of the tumor excision material showed that Mycobacterium tuberculosis was detected very low. The patient received an anti-tuberculosis drug and had a good prognosis. Patients with a family history of tuberculosis should be examined for tuberculosis. Although in a patient with lung carcinoma signs and symptoms, it does not rule out chest wall tuberculosis. Enforcement of the correct diagnosis can increase the prognosis of extrapulmonary tuberculosis. • GeneXpert MTB/RIF examination should be performed on patients with a family history of tuberculosis. • Management of Chest wall tuberculosis included incision and anti-tuberculosis drugs. • Extrapulmonary tuberculosis does not have non-specific signs and symptoms. [ABSTRACT FROM AUTHOR]
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- 2022
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103. Chest wall reconstruction using steel wire in a case of Chondrosarcoma Rib: a novel technique of neo-rib.
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Ram, Dharma, Darlong, Laleng, Sharma, Ashwani, Bansal, Abhishek, and Shukla, Himanshu
- Abstract
Chest wall tumor usually requires enbloc resection of tumor with overlying skin, adjoining ribs, and occasionally sternum. An ideal prosthetic material to cover the bony defect as well as maintain respiratory mechanics is yet to be developed. Commonly available methods include combination of the mesh with rigid metallic plates, bone cement, etc., over the skeletal defect, which is then covered with a muscle flap. Here, we are reporting a case of Chondrosarcoma Rib in which rib was reconstructed using non-rigid stainless steel wire, which is easily available and simple to perform. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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104. Giant cell tumor of rib presenting as intra-thoracic mass: a rare case report.
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Shenoy, Ranjeetha, Dewan, Ravindra, Saxena, Rajat, and Ganapathi, Adarsh
- Abstract
We report a case of a 17-year-old male with a giant cell tumor originating from the rib and presenting as an intra-thoracic mass. It is a benign, locally aggressive neoplasm seen infrequently. Thoracotomy and en bloc resection of the mass were carried out successfully. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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105. An unusual timing for symptomatic chest pain in an adult chest wall myofibroma: a case report.
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Chin-Li Chen and Hung Chang
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CHEST disease diagnosis , *COMPUTED tomography , *MAGNETIC resonance imaging , *NEEDLE biopsy - Abstract
Introduction Myofibromas are benign mesenchymal neoplasms that can present as solitary and multicentric lesions. They can occur in several locations and can occur at any age from neonates to elderly patients. However, most of the lesions are found in neonates and babies. It rarely occurs in adults. Case presentation A 29-year-old Taiwanese man presented with persistent dull chest pain in his right lateral chest wall for 2 weeks. A chest X-ray showed a faint patchy opacity over the periphery of his right upper lung zone. Computed tomography and magnetic resonance imaging showed a lobulated mass at the intercostal space between his right fifth and sixth ribs with contrast enhancement and bone invasion. Malignancy could not be excluded. A percutaneous needle aspiration biopsy failed due to technique issues, so he underwent a thoracotomy and the tumor was excised with Marlex mesh repairs for the thoracic defect. Pathology confirmed a myofibroma without malignancy. He recovered uneventfully and no local recurrence was detected at the 1-year follow-up examination. Conclusions Chest wall myofibroma presenting with chest pain has never been reported in adults. It is a challenge to differentiate myofibroma from malignancy in chest wall preoperatively, such as seen in our patient. To the best of our knowledge, this has not been previously reported in the scientific literature. Although myofibroma rarely occurs in the chest wall and adults, it must be suspected in any chest wall tumor presenting with chest pain. [ABSTRACT FROM AUTHOR]
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- 2014
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106. The Role of the Orthopaedic Oncologist in Chest Wall Resections and Reconstructions.
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Thorpe, Steven W., Alderete, Joseph F., Goodman, Mark A., and McGough, Richard L.
- Abstract
Tumors of the bony thorax are rare and present unique challenges in achieving optimal oncologic results. Negative margins can be quite difficult to obtain because of the proximity to vital structures, hence rendering wide resection challenging. Chest wall resections are also complex because of the necessity for restoration of a functional chest wall with adequate soft tissue coverage to prevent paradoxical respiration and to mitigate pulmonary complications. Traditionally, thoracic surgeons have treated chest wall tumors. However, at some centers, orthopaedic oncologists have performed resections and reconstructions of these tumors with minimal perioperative morbidity. Previous studies have shown both an increase in the number of wide resections and a survival benefit for the treatment of these tumors when care is provided at a sarcoma center of excellence with a multidisciplinary team. We recommend a multidisciplinary treatment algorithm for these tumors with a musculoskeletal oncologist, thoracic surgeon, and plastic surgeon to bring about successful wide resection of the tumor, restoration of functional chest wall kinetics, and appropriate soft tissue coverage. [Copyright &y& Elsevier]
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- 2014
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107. Combined pulmonary lobectomy for surgical treatment of a malignant fibrous histiocytoma of the chest wall: a case report.
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Yi Liu, Gang Chen, Yi Wu, Renwang Liu, Song Xu, Jun Chen, and Qinghua Zhou
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DERMATOFIBROMA , *DIFFERENTIAL diagnosis , *SURGICAL excision , *THERAPEUTICS , *PROGNOSIS - Abstract
Background A malignant fibrous histiocytoma (MFH) rarely originates from the chest wall. Clinical findings In this case, we describe a 59-year-old Chinese woman who presented with an enormous mass originating from the left chest wall and involving the left upper pulmonary lobe. Therapy After a radical en-block resection of the entire chest mass with left upper pulmonary lobectomy, and the chest wall reconstruction, a histopathologic diagnosis of the giant cell MFH was rendered. She has done well postoperatively, showing no local recurrence or distal disease in an 8-month follow-up period. Conclusion Although a MFH originating from the chest wall is rare, it should be considered in the differential diagnosis of a chest wall tumor. Virtual slides The virtual slide(s) for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/8895569301129379 [ABSTRACT FROM AUTHOR]
- Published
- 2014
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108. Mastery of chest wall reconstruction with a titanium sternum-rib fixation system: a case series.
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Li Y, Liu K, Yang Y, Zhao T, Guo X, and Wang L
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Background: Chest wall disease is a common disease in thoracic surgery. For most chest wall lesions, surgical resection is the mainstay of treatment. Reconstruction is indicated for a wide range of chest wall defects. Currently, various reconstruction materials are used in clinic, including 3D printing materials and various types of metal materials. At present, most of the studies using titanium sternum-rib fixation system for reconstruction are case reports. The purpose of this paper is to analyze the experience to discuss our essential surgical techniques for treating various types of chest wall reconstruction with a titanium sternum-rib fixation system over the last 5 years., Case Description: A retrospective analysis was performed on patients with chest wall tumors treated with a titanium sternum-rib fixation system in our center from 2016 to 2020. Chest wall reconstruction techniques, experiences, postoperative complications, and quality of life including chest discomfort, chronic pain, average time to return to normal life, chest wall deformity after resection for various types of chest wall tumors were analyzed. In this study, a total of 57 patients were successfully operated without chest wall deformity and return to daily life early. With an average of 2.3 ribs removed, including 10 procedures involving sternotomy and reconstruction and 3 procedures involving sternoclavicular joint resection and reconstruction. The follow-up time of the whole group ranged from 3 months to 5 years. Postoperative chest discomfort occurred in 6 patients during follow-up; 2 patients had chronic pain. The average time to return to normal life was 1.4 months. One patient developed a deformed depression of the chest wall, and 2 patients developed wound infections. There was no perioperative death., Conclusions: In our clinical experience, the titanium sternum-rib fixation system is safe, effective, and feasible. The technique is straightforward. The early and middle postoperative curative effect is satisfactory and can be used clinically., Competing Interests: Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-22-1686/coif). The authors have no conflicts of interest to declare., (2022 Journal of Thoracic Disease. All rights reserved.)
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- 2022
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109. Giant intercostal nerve schwannoma in a patient with neurofibromatosis type 2
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Luca Ampollini, Enrico Maria Silini, Michele Rusca, Luigi Ventura, Paolo Carbognani, and Letizia Gnetti
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Adult ,Neurofibromatosis 2 ,Cancer Research ,medicine.medical_specialty ,Computed tomography ,Intercostal nerves ,030204 cardiovascular system & hematology ,Schwannoma ,03 medical and health sciences ,0302 clinical medicine ,medicine ,Humans ,Neurofibromatosis type 2 ,Neurofibromatosis ,Thoracic Wall ,medicine.diagnostic_test ,business.industry ,General Medicine ,medicine.disease ,Thoracotomy ,Oncology ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,Female ,Intercostal Nerves ,Radiology ,business ,Neurilemmoma - Abstract
Purpose: To describe a case of giant intercostal nerve schwannoma successfully resected in a patient with neurofibromatosis type 2. Methods: A 44-year-old woman, with a history of neurofibromatosis type 2, presented with chest discomfort and mild dyspnea. She had undergone a recent resection of a large frontal parasagittal benign meningioma. Radiologic examinations showed a large lesion (9×12×9 cm) of the left hemithorax causing a complete atelectasis of left upper lobe. Bronchoscopy did not show any endobronchial alterations, apart from an ab estriseco compression of the left upper bronchial tree. A transthoracic needle biopsy was then performed and microscopic examination revealed a mesenchymal tumor composed of spindle-like cells. Results: A video-assisted thoracoscopic surgery procedure was proposed. The tumor mass appeared to be tenaciously adherent to the parietal pleura in its anterolateral aspect, confirming the radiologic appearance. No invasion of the lung parenchyma or parietal pleural metastases were visible. Therefore, a left posterolateral thoracotomy at the fifth intercostal space was performed and a macroscopic complete resection was carried out. The recovery was uneventful and the patient was discharged on postoperative day 5. The histologic examination revealed a moderate cellular proliferation of spindle-shaped and oval to polygonal cells with frequent Verocay bodies; mitotic figures were rare. The tumor cells were strongly S-100 positive. The microscopic features were consistent with benign intercostal schwannoma. Eight years later, the patient is disease-free and asymptomatic. Conclusions: An unusual case of giant intercostal nerve schwannoma successfully resected in a patient with neurofibromatosis type 2 is described.
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- 2018
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110. Association of a Giant Lymphoma Mass With Occupational Benzene Exposure
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Yota Suzuki, Shawn P. Robinson, and Ikenna C. Okereke
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medicine.medical_specialty ,Lymphoma ,Adjuvant chemotherapy ,business.industry ,Case Report ,Benzene ,medicine.disease ,Dermatology ,Resection ,Chest Wall Lymphoma ,hemic and lymphatic diseases ,Chest Wall Tumor ,medicine ,Exposure history ,Risk factor ,business ,Carcinogen ,Chest wall tumor - Abstract
Benzene is a chemical widely used in industrial settings and known to have hematopoietic toxicity. Previous literature has been inconsistent regarding a direct association of benzene exposure with lymphoma. A young patient with a strong history of benzene exposure presented with a 17-cm chest wall lymphoma and purulent drainage from the mass. He underwent resection of the mass. Pathologic analysis revealed a high-grade diffuse large B-cell lymphoma. The wound ultimately healed well and the patient received adjuvant chemotherapy. Though the overall literature has been inconsistent regarding the association of benzene with lymphoma, our report highlights the possibility that a very extensive exposure history may be a risk factor for the development of lymphoma. J Med Cases. 2019;10(9):274-276 doi: https://doi.org/10.14740/jmc3364
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- 2019
111. Thoracoscopic rib resection and reconstruction of chest wall: Our clinical experience
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Masashi Gotoh, Yasuaki Tomioka, Yuichiro Ueda, Tatsuo Nakagawa, and Toshiya Toyazaki
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medicine.medical_specialty ,Drill ,business.industry ,Open thoracotomy ,General Medicine ,medicine.disease ,Rib resection ,Surgery ,Surgical morbidity ,Chest wall reconstruction ,03 medical and health sciences ,0302 clinical medicine ,Chest wall resection ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,medicine ,030211 gastroenterology & hepatology ,business ,Lung cancer - Abstract
Chest wall resection is traditionally performed via open thoracotomy, a procedure that increases surgical morbidity and reduces postoperative quality of life. Conversely, thoracoscopic chest wall resection may minimize invasiveness but the optimal procedure remains uncertain. We previously reported rib resection using a pneumatic high-speed power drill during video-assisted thoracoscopic surgery for selected lung cancer patients. In this report, we present two cases of chest wall tumor resected using the drill via the thoracoscopic approach. We also report thoracoscopic chest wall reconstruction in one patient using a patch sheet.
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- 2019
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112. Periodic appearance and disappearance of a chest wall (serratus anterior development) cavernous hemangioma that was finally resected in a child.
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Nakagawa, Tomoki, Watanabe, Hajime, Nakazato, Kenei, Masuda, Daisuke, Ogura, Go, Masuda, Ryota, Nakamura, Naoya, and Iwazaki, Masayuki
- Abstract
Primary chest wall tumors occur infrequently; in particular, cavernous hemangioma of the chest wall is an extremely rare disease. We report a case of child with cavernous hemangioma of the chest wall, which was successfully resected. Obvious enlargement of the tumor and the appearance of pain were observed during a 2-year follow-up. In the present case, transcutaneous ultrasonography showed the appearance and disappearance of the mass. This was considered to be caused by the transfer of contents between the shallow and deep parts of the tumor. This may have resulted from serratus anterior muscle movement between the two-layered tumor. Transcutaneous ultrasonography, as well as magnetic resonance imaging, was therefore extremely effective for preoperative diagnosis. Transcutaneous ultrasonography is easily performed, even in children, such as in the present case. Because of its simplicity and usefulness, transcutaneous ultrasonography may be considered as the first-line imaging modality for diagnosis. [ABSTRACT FROM AUTHOR]
- Published
- 2013
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113. A thoracic surgeon's perspective on the elastofibroma dorsi: A benign tumor of the deep infrascapular region.
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Findikcioglu, Alper, Kilic, Dalokay, Karadayi, Şule, Canpolat, Tuba, Reyhan, Mehmet, and Hatipoglu, Ahmet
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DEOXY sugars , *RADIOPHARMACEUTICALS , *TOMOGRAPHY , *ACADEMIC medical centers , *DIFFERENTIAL diagnosis , *IMMUNOHISTOCHEMISTRY , *MAGNETIC resonance imaging , *MEDICAL records , *HEALTH outcome assessment , *TREATMENT effectiveness , *RETROSPECTIVE studies , *DESCRIPTIVE statistics , *DIAGNOSIS , *THERAPEUTICS ,CONNECTIVE tissue tumors ,CHEST tumors - Abstract
Background: An elastofibroma is a benign, soft-tissue tumor and is important in the differential diagnosis of thoracic wall masses. Here, patients with elastofibromas who underwent thoracic surgery were retrospectively reviewed to elucidate elastofibroma formation and to facilitate the differential diagnosis. Methods: This is a retrospective and descriptive study of a series of 30 patients with elastofibroma dorsi. The data was obtained by review of the hospital records. Results: There were 27 female and three male patients (mean age, 55.13 ± 8.7 years) with a total of 42 elastofibroma dorsi tumors (12 bilateral cases, 18 unilateral cases) diagnosed between January 2004 and October 2011. Twenty patients (67%) underwent surgery as a result of subscapular swelling and pain. In 10 (33%) asymptomatic patients, elastofibromas were found incidentally during a thoracotomy. Imaging methods in symptomatic patients included computerized tomography (15 cases), magnetic resonance (three), and ultrasonography (two). For five patients, fluorodeoxyglucose uptake values were available and revealed mild metabolic activity in the elastofibromas. Elastofibromas were significantly larger in symptomatic patients (8.15 ± 1.9 vs. 6.2 ± 2.3; P= 0.02). Exposure to long-term repetitive micro-trauma was a precipitating factor in 23 (77%) patients. Seroma formation, the most common surgical complication, was observed in 40% of patients. Conclusion: The differential diagnosis of elastofibroma dorsi is straightforward, and preoperative histology is unnecessary when the clinical, radiological, and metabolic characteristics are known. Repetitive micro-trauma may predispose to hyperproliferation of fibroelastic tissue, and genetics may also play a role. Surgical treatment can be reserved for cases with severe symptoms. [ABSTRACT FROM AUTHOR]
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- 2013
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114. Traumatic giant cell tumor of rib: A case report.
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Chen YS, Kao HW, Huang HY, and Huang TW
- Abstract
Background: Giant cell tumor (GCT) of the anterior rib origin is extremely rare. We report the first case of trauma-induced GCT of the rib., Case Summary: A 22-year-old female developed a mass over the right anterior chest wall with pain 3 mo after a falling injury with blunt trauma of the right chest wall. Chest computed tomography (CT) showed a tumor originating from the right 6th rib with bony destruction, and a CT-guided needle biopsy revealed a GCT. We completely resected the tumor with chest wall and performed reconstruction. The pathological diagnosis was GCT of the bone. Twelve months after surgery, no signs of recurrence were observed., Conclusion: GCT of the rib after trauma has not been reported. Meticulous history-taking and image evaluation are essential for the differential diagnosis of unusual chest wall tumors., Competing Interests: Conflict-of-interest statement: All authors report no relevant conflict of interest for this article., (©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved.)
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- 2022
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115. Ten-Year Experience of Chest Wall Reconstruction: Retrospective Review of a Titanium Plate MatrixRIB™ System.
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Wong THY, Siu ICH, Lo KKN, Tsang EYH, Wan IYP, Lau RWH, Chiu TW, and Ng CSH
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Chest wall tumor resection can result in a large defect that can pose a challenge in reconstruction in restoring chest wall contour, maintaining respiratory mechanics, and improving cosmesis. Titanium plates were first introduced for treating a traumatic flail chest, which yielded promising results in restoring chest wall stability. Subsequently, the applications of titanium plates in chest wall reconstruction surgery were demonstrated in case reports and series. Our center has adopted this technique for a decade, and patients are actively followed up after operation. Here, we retrospectively analyze our 10-year experience of using titanium plates and other reconstruction approaches for chest wall reconstruction, in terms of clinical outcomes, complications, and reasons for reoperation to determine long-term safety and efficacy. Thirty-eight patients who underwent chest wall resection and reconstruction surgery were identified. Of these, 11 had titanium plate insertion, 11 had patch repair or flap reconstruction, and the remaining 16 had primary closure of defects. Chest wall reconstruction using titanium plate(s) and patch repair (with or without flap reconstruction) was associated with larger chest wall defects and more sternal resections than primary closure. Subgroup analysis also showed that reconstruction by the titanium plate technique was associated with larger chest wall defects than patch repair or flap reconstruction [286.80 cm
2 vs. 140.91 cm2 ( p = 0.083)]. There was no 30-day hospital mortality. Post-operative arrhythmia was more commonly seen following chest wall reconstruction compared with primary closure ( p = 0.041). Furthermore, more wound infections were detected following the use of titanium plate reconstruction compared with the patch repair (with or without flap reconstruction) approach ( p = 0.027). In conclusion, the titanium plate system is a safe, effective, and robust approach for chest wall reconstruction surgery, especially in tackling larger defect sizes., Competing Interests: CN is a consultant for Johnson and Johnson; Medtronic, USA; and Siemens Healthineer. RL is a consultant for Medtronic, USA; and Siemens Healthineer. All remaining authors declare no potential conflicts of interest that exist with any companies/organizations whose products or services are discussed in this article., (Copyright © 2022 Wong, Siu, Lo, Tsang, Wan, Lau, Chiu and Ng.)- Published
- 2022
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116. Infantile juvenile xanthogranuloma of the chest wall mimicking mesenchymal hamartoma: report of a case.
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Masui, Daisuke, Fukahori, Suguru, Asagiri, Kimio, Tanaka, Yoshiaki, Ishii, Shinji, Kojima, Shinichiro, Yoshida, Motomu, Komatsuzaki, Naoko, Tanikawa, Ken, Kage, Masayoshi, Nagata, Shuji, and Yagi, Minoru
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MESENCHYME , *HAMARTOMA , *MACROPHAGES , *RIB cage , *IMMUNOHISTOCHEMISTRY , *HISTOPATHOLOGY - Abstract
Juvenile xanthogranuloma (JXG) is essentially a benign neoplasm arising from any site on the body; however, there has so far been only one report of JXG located on the chest wall involving a rib. This report presents a rare case finally diagnosed as JXG based on histopathological and immunohistochemical examinations. [ABSTRACT FROM AUTHOR]
- Published
- 2012
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117. The combination of polytetrafluoroethylene mesh and titanium rib implants: an innovative process for reconstructing large full thickness chest wall defects†.
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Berthet, Jean-Philippe, Wihlm, Jean-Marie, Canaud, Ludovic, Joyeux, Frédérique, Cosma, Catalin, Hireche, Keira, Alric, Pierre, and Marty-Ané, Charles-Henri
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POLYTEF , *RIB cage , *TITANIUM , *ARTIFICIAL implants , *LUNG cancer treatment , *INTERNAL fixation in fractures , *TRANSPLANTATION of organs, tissues, etc. , *THERAPEUTICS - Abstract
OBJECTIVES The reconstruction of large full thickness chest wall defect after resection of T3/T4 non-small cell lung cancer (NSCLC) or primary chest wall tumours presents a technical challenge for thoracic surgeons and is a critical factor in determining post-operative outcome. When the defect is large, complications are common with a 27% mean rate of respiratory morbidity. METHODS Since 2006, 31 patients underwent reconstruction for wide chest wall defects using titanium implants and strong mesh. The reconstruction was achieved using a layer of polytetrafluoroethylene or a XCM biologic tissue mesh shaped to match the defect and sutured under maximum tension to re-establish the skeletal continuity. The mesh was placed close to the lung and was fixed onto the bony framework and onto the titanium plate. In one case, we used XCM biologic tissue because of a large infected T3 NSCLC. A horizontal titanium rib osteosynthesis system was used to reestablish the rigidity of the thoracic wall by bridging the defect except for one case in which we use a vertical rib osteosynthesis system. RESULTS Twenty-six patients underwent a complete R0 resection with the removal of a mean of 4.67 ± 1.5 [3–9] ribs, including the sternum in 14 cases. The mean defect area was 198 ± 91.2 [95–400] cm². Reconstruction required a mean of 2.06 ± 1.1 [1–4] titanium plates. There were two cases of deep wound infection that required surgical removal of the osteosynthesis system in one patient. Only one patient developed a major complication in the form of respiratory failure. There were two postoperative deaths neither of which was directly related to the surgical procedure. CONCLUSIONS Our experience and initial results show that titanium rib osteosynthesis in combination with strong biologic or synthetic mesh can easily and safely be used in a one-stage procedure for the reconstruction of major chest wall defects. [ABSTRACT FROM AUTHOR]
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- 2012
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118. Elastofibroma dorsis: un tumor infrecuente de la pared torácica.
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Debernardi, D. M., Avalos, S., Bustos, M. E. F., and Agustin, Arancibia
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MEDICAL research , *CHEST diseases , *TUMORS , *ONCOLOGY , *CANCER , *SURGERY - Abstract
The elastofibroma Dorsis (EF) is a tumor that occurs most frequently in the chest wall's infrascapular region, have mild symptoms to pain, discomfort and loss of function.While it is a benign tumor that requires surgery for their symptoms and when it is necessary to differentiate malignant tumors. Objective: To analyse chest wall's tumors treated surgically and its complications. Method: were treated 13 patients with chest wall infrascapular tumors in whom resected 17 tumors. Results: 12 tumors were reported as EF, there was no presence of atypical cells in the treated tumors seroma formation was the most frequent complication. Conclusion: despite being a benign tumor EF requiring surgical treatment for their symptoms and frequency. [ABSTRACT FROM AUTHOR]
- Published
- 2011
119. Mesenchymal hamartoma: prenatal diagnosis by MRI.
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Chu, Leysia, Seed, Mike, Howse, Erica, Ryan, Greg, and Grosse-Wortmann, Lars
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MAGNETIC resonance imaging , *DIAGNOSTIC imaging , *THORACIC vertebrae , *PRENATAL diagnosis , *PEDIATRIC radiology - Abstract
The clinical presentation of thoracic mesenchymal hamartomas varies from an asymptomatic chest wall mass to severe respiratory distress resulting from compression of the airways and lungs. We present the findings on fetal US and MRI of a histologically confirmed case. Following surgical resection, pathological examination corresponded to the cross-sectional imaging features with haemorrhagic, cystic and calcified components. An awareness of the characteristic imaging findings will allow accurate diagnosis of this condition, even prenatally, and thus facilitate appropriate perinatal management and surgical planning. [ABSTRACT FROM AUTHOR]
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- 2011
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120. Novel titanium constructs for chest wall reconstruction in children.
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Stephenson, Jacob T., Song, Kit, Avansino, Jeffrey R., Mesher, Andrew, and Waldhausen, John H.T.
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TITANIUM construction ,THORACIC surgery ,PROSTHETICS ,EWING'S sarcoma ,SCOLIOSIS ,METASTASIS ,SURGICAL excision ,PLASTIC surgery - Abstract
Abstract: Purpose: We have previously reported the use of the vertical expandable prosthetic titanium rib (VEPTR) for treatment of thoracic dystrophy. This report describes our experience with this device and other novel titanium constructs for chest wall reconstruction. Methods: This is a retrospective chart review of all children and adolescents undergoing chest wall reconstruction with titanium constructs between December 2005 and May 2010. Results: Six patients have undergone chest wall reconstruction with VEPTR or other titanium constructs. Four had chest wall resection for primary malignancy, 1 had metastatic chest wall tumor resection, and 1 had congenital chest wall deformity. There were no immediate complications, and all patients have exhibited excellent respiratory function with no scoliosis. Conclusions: Chest wall reconstruction after tumor resection or for primary chest wall deformities can be effectively accomplished with VEPTR and other customized titanium constructs. Goals should be durable protection of intrathoracic organs and preservation of thoracic volume and function throughout growth. Careful preoperative evaluation and patient-specific planning are important aspects of successful reconstruction. [Copyright &y& Elsevier]
- Published
- 2011
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121. Review of Chest Wall Tumors: A Diagnostic, Therapeutic, and Reconstructive Challenge.
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David, Elizabeth A. and Marshall, M. Blair
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THORACIC surgery , *SURGEONS , *SURGERY , *TUMORS , *ONCOLOGY ,CHEST tumors - Abstract
Chest wall tumors are a heterogeneous group of lesions that provide an interesting diagnostic and therapeutic challenge for surgeons. They make up less than 5% of thoracic malignancies and vary widely in pathology as they arise from all anatomic structures of the chest wall. In general, treatment is wide local excision, the margins for malignant disease are necessarily wider, and adjuvant radiation is typically given for those with positive margins. Chemotherapy is rarely effective. Local control is the most important prognostic factor. Disease-free survival for malignant disease is limited by positive margins; therefore full oncologic resection with 4-cm margins should be attempted. For small lesions, the resection and reconstruction is usually straightforward. For more advanced disease or those lesions that require significant functional loss, preoperative planning using a multidisciplinary approach, incorporating thoracic surgery, plastic surgery, neurosurgery, radiation medicine, oncology, and physical medicine and rehabilitation, may be essential. [ABSTRACT FROM AUTHOR]
- Published
- 2011
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122. Resected osteochondroma of the rib in an elderly patient.
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Kikuchi, Ryutaro, Mino, Nobuya, Matsukura, Tadashi, and Hirai, Takashi
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Solitary osteochondroma of the rib is a rare primary chest wall tumor. Herein, we report a case of a successfully resected osteochondroma of the rib. The patient was a 73-year-old asymptomatic woman who came to our hospital regularly for treatment of hypertension and hyperlipidemia. A checkup chest roentgenogram showed a shadow at the right anterior chest wall consistent with a mass, and computed tomography showed a tumor arising from the right fourth rib. Because it was impossible to exclude completely the diagnosis of a well-differentiated chondrosarcoma, we performed resection of the right anterior chest wall and a re construction with a rigid prosthesis. The post operative course of the patient was unremarkable. The final pathological diagnosis of the rib tumor was osteochondroma. [ABSTRACT FROM AUTHOR]
- Published
- 2010
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123. A multidisciplinary approach to giant soft tissue sarcoma of the chest wall: A case report.
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Davis, Catherine H., Yammine, Halim, Khaitan, Puja G., Chan, Edward Y., and Kim, Min P.
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Introduction Soft tissue sarcomas of the chest wall are exceptionally rare entities that present as painless slow growing masses. Resection is often precarious due to involvement of vital structures, and patients are left with large chest wall defects postoperatively requiring extensive reconstruction. Presentation of case We present a case report of a 29 year-old man who presented with a giant soft tissue sarcoma of the chest that had been growing slowly for one year prior to presentation. The patient had a biopsy that was positive for sarcoma, and PET CT demonstrated a large lobulated mass in the left chest wall with an SUV of 6.7. He received 50 Gy of radiation therapy; however, the mass continued to grow in size. He subsequently underwent an en-bloc resection of the mass with latissimus and serratus muscle primary reconstruction. Final pathology showed a 27 cm high-grade fibrosarcoma with prominent myxoid component. To our knowledge, this is the largest soft tissue sarcoma of the chest wall reported in the literature. Postoperatively, the patient received 6 cycles of adjuvant chemotherapy. Discussion Surgery is the mainstay of treatment, and chemotherapy and radiation are used in specific circumstances. Risk of recurrence is dependent on many factors, including histologic subtype, grade, and size of tumor. Long term surveillance with physical exam and imaging is recommended. Conclusion We feel that the multidisciplinary approach is crucial for optimal management of large soft tissue sarcomas. We recommend this approach to all patients with chest wall sarcomas. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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124. Insidious malignant triton tumor of the chest wall with late flare-up.
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Wu, Jeng-Yuan, Sheu, Lai-Fa, and Yao, Chao-Yuan
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Malignant triton tumor is a rare malignant peripheral nerve sheath tumor with rhabdomyoblastic differentiation. Most of these tumors are located in the head, neck, and extremities, and about half of cases are associated with neurofibromatosis type 1 featuring cafe-au-lait spots or cutaneous neurofibromas. We present a 76-year-old man with an insidious chest wall tumor with late progressive painful enlargement and pleural and pulmonary involvement. Complete resection of the affected thoracic wall as well as single separate lesions in the parietal pleura and left upper lung was carried out. The pathological examination confirmed that it was a malignant triton tumor. The patient received adjuvant chemoradiotherapy but eventually succumbed to disease relapse and distant metastases 6 months after the surgery. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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125. 阔筋膜与涤纶布修补术对胸壁肿瘤切除后胸壁缺损的临床疗效.
- Author
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高亚洲, 王霞, 韩乐, 宋养荣, and 程蒿
- Abstract
Objective: To compare the clinical curative effect of fascia repair with dacron cloth repair resection of chest wall defect of chest wall tumor. Methods: 81 chest wall tumor patients fromdepartment of thoracic surgery in our hospital were selected and randomly divided into the Tensor fascia group (40 cases) and the Polyester fabric group (41 cases). The analgesic dosage, pulmonary signs, lead flow, CRP, white blood cell and clinical rehabilitation were compared between two groups. Compared with the tensor fascia group, the analgesic effect, respiratory confinement time and incidence rate of pleural adhesion were lower(P<0.05). Compared with before treatment, the white blood cell level were higher(P<0.05),the C reactive protein level were lower(P<0.05). Results: Compared with the tensor fascia group, the level of white blood cell, the days to restore normal SPO2 level after the treatment of polyester fabric was shortened (P<0.05), the postoperative fever days, drainage days and length of stay in hospital were shorter(P<0.05). Conclusions: The clinical curative effect of polyester fabric repair is superior to the traditional tensor fascia repair with less pain and fast recovery, worthy to be popularized. [ABSTRACT FROM AUTHOR]
- Published
- 2016
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126. Intercostal hemangioma of the chest wall.
- Author
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Dzian, Anton and Hamzík, Julian
- Subjects
- *
SURGICAL excision ,CHEST tumors - Abstract
The authors describe a case of a 36-year-old patient who had six months' pain of the thoracic spine and left chest. A soft slowly growing resistance was present on the dorso-lateral side of the left chest wall, in the range of the seventh to ninth rib. According to the medical history, the patient did not have any prior trauma and malignancy. A well-defined tumor of the left chest wall with calcifications, which grew to the seventh and eighth intercostal space, was present on computed tomography (CT) and magnetic resonance (MR) scans. The patient underwent resection of the tumor with the chest wall and reconstruction with polypropylene mesh. Histologically, it was a venous hemangioma, one of very rare tumors of the chest wall. [ABSTRACT FROM AUTHOR]
- Published
- 2016
- Full Text
- View/download PDF
127. Schwannoma Mimicking Liver Tumor.
- Author
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Shih, Y.-C., Chen, Y.-L., Fang, H.-Y., Wu, C.-Y., Lin, Y.-C., and Lin, Y.-M.
- Abstract
Thoracic neurogenic tumors typically originate from the posterior mediastinum and the intercostal nerves. No report of a chest wall schwannoma extending toward the subphrenic areas and making a significant indentation into liver parenchyma exists to date. We present a liver tumor-mimicking schwannoma of the intercostal nerves. A 58-year-old woman presented with a painful lesion in the right subphrenic area and abdominal pain in the right upper quadrant for two months. Abdominal ultrasonography and magnetic resonance imaging revealed a tumor, 9.1 � 7.1 � 8.9 cm in size, with an inner cystic change in segment V and VI of the liver. The tumor was completely resected together with part of the 9th rib. Pathology confirmed a schwannoma and showed a tumor composed of spindle cells with oval to wavy nuclei. The patient was still asymptomatic at follow-up after 36 months, with no sign of recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2009
- Full Text
- View/download PDF
128. Grade 1 and 2 Chondrosarcomas of the Chest Wall: CT Imaging Features and Review of the Literature.
- Author
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Del Grande, Filippo, Ahlawat, Shivani, McCarthy, Edward, and Fayad, Laura M.
- Subjects
- *
COMPUTED tomography , *LITERATURE reviews , *TUMOR grading , *CHONDROSARCOMA , *STERNUM - Abstract
The purpose of our retrospective article is to review the CT imaging features of chondrosarcomas of the chest wall with pathologic correlation. For 26 subjects with biopsy-proven chondrosarcomas of the chest wall, two musculoskeletal radiologists retrospectively reviewed 26 CT scans in consensus. Descriptive statistics were performed. The mean tumor size was 57 mm. Twenty (20/26, 77%) chondrosarcomas were located in the ribs and six (6/26, 23%) in the sternum. The majority were lytic (19/26, 73%) with <25% calcification (15/26, 58%), and with a soft tissue mass (22/27, 85%). In this study CT features of grade 1 chondrosarcoma overlapped with those of grade 2 tumors. In conclusion, chondrosarcomas of the chest wall are generally lytic with an associated soft tissue mass, showing little calcified matrix and low-to-intermediate grade. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
129. Thoracic actinomycosis in an adolescent mimicking chest wall tumor or pulmonary tuberculosis.
- Author
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Yeung, V. H. W., Wong, Q. H. Y., Chao, N. S. Y., Leung, M. W. Y/, and Kwok, W. K.
- Subjects
- *
PEDIATRICS , *JUVENILE diseases , *ACTINOMYCOSIS , *TUBERCULOSIS in children , *TOMOGRAPHY , *X-rays - Abstract
Actinomycosis is a rare disease in children and young adolescents and its thoracic manifestations accounted for a minority of all cases. We report a case of a 12-year-old boy who presented with a right anterior chest wall mass for one week together with weight loss and low grade fever for one month. His symptoms and signs as well as the results of the radiological investigations (i.e. chest X-ray and computed tomography (CT) of thorax with contrast) mimicked pulmonary tuberculosis or chest wall tumor. The definite diagnosis of actinomycosis relies on the Gram stain microscopy and culture of the chest wall lesion aspirates. An early and accurate diagnosis can prevent the patient from unnecessary invasive procedures such as open lung biopsy or thoracotomy. The mainstay of the treatment of actinomycosis remains to be a combination of abscess drainage as well as prolonged antibiotics such as penicillin. Follow-up CT scan of thorax with contrast is useful in monitoring the progress of disease recovery. [ABSTRACT FROM AUTHOR]
- Published
- 2008
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130. Extra-Gastrointestinal Stromal Tumor Presenting as an Anterior Chest Wall Mass
- Author
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Sung Woo Cho, Yong Han Kim, Bong Suk Park, Hee Sung Lee, Junghyeon Lim, and Hyoung Soo Kim
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Sternum ,lcsh:Surgery ,Case Report ,030204 cardiovascular system & hematology ,Asymptomatic ,03 medical and health sciences ,0302 clinical medicine ,Peritoneum ,Medicine ,Pericardium ,Gastrointestinal stromal tumors ,Stromal tumor ,Extra-gastrointestinal stromal tumor ,business.industry ,lcsh:RD1-811 ,Costal cartilage ,Diaphragm (structural system) ,Surgery ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Resection margin ,Radiology ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,business ,Chest wall tumor - Abstract
A 71-year-old man was referred for an anterior chest wall mass. Chest computed tomography (CT) and positron emission tomography-CT suggested a malignant tumor. Surgical biopsy through a vertical subxiphoid incision revealed an extra-gastrointestinal stromal tumor (EGIST). En bloc resection of the tumor, including partial resection of the sternum, costal cartilage, pericardium, diaphragm, and peritoneum, was performed. Pathologic evaluation revealed a negative resection margin and confirmed the tumor as an EGIST. On postoperative day 17, the patient was discharged without any complications. At the 2-week follow-up, the patient was doing well and was asymptomatic.
- Published
- 2017
131. The results of surgical treatment of chest wall tumors in childhood.
- Author
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Soyer, Tutku, Karnak, İbrahim, Ciftci, Arbay O., Şenocak, Mehmet Emin, Tanyel, F. Cahit, Büyükpamukçu, Nebil, Karnak, Ibrahim, Senocak, Mehmet Emin, and Büyükpamukçu, Nebil
- Subjects
- *
TUMORS , *BIOPSY , *SARCOMA , *RHABDOMYOSARCOMA , *NEUROBLASTOMA , *OSTEOCHONDROMA , *COMBINED modality therapy , *COMPARATIVE studies , *RESEARCH methodology , *MEDICAL cooperation , *RESEARCH , *PLASTIC surgery , *EVALUATION research , *RETROSPECTIVE studies , *CHEST (Anatomy) ,TUMOR surgery ,CHEST tumors - Abstract
Chest wall tumors (CWT) are rarely seen in childhood and surgery constitutes a complementary part of the therapy. The early and late results of CWT resection and chest wall reconstruction were evaluated retrospectively. The children who underwent chest wall resection for CWT between January 1990 and November 2003 were evaluated retrospectively. Seventeen children (male/female = 12/5, mean age: 7.58 years) underwent chest wall resection for CWT. Fifteen patients underwent initial biopsy (tru-cut, n = 8 or open biopsy, n = 7) and two underwent initial resection. The diagnosis was malignant tumor in 12 (70%) and benign in 5 (30%). They were Ewing's sarcoma (ES) (n = 4), primitive neuroectodermal tumor (PNET) (n = 3), Askin's tumor (n = 1), rhabdomyosarcoma (RMS) (n = 2), neuroblastoma (n = 2), osteochondroma (n = 1), aneurysmal bone cyst (n = 2) and hamartoma (n = 2). Preoperative chemotherapy was given to most patients with malignant tumor. All patients had only local tumor at the time of resection. Thoracotomy was performed in all patients. All tumor tissues with the affected rib/ribs were resected en bloc with the adjacent tissues. The number of resected ribs was 1 (n = 6), 2 (n = 7) and 3 (n = 4). Chest wall defects were repaired primarily (n = 8) or with grafts (n = 9). Dura (n = 4), Neuro-patch (n = 3) and Goretex (n = 2) were used for closure. Wound infection and pleural fistula occurred in one patient. Patients with benign tumor were free of complaints or complications during follow up. All patients with malignant tumor received postoperative chemotherapy. Local recurrence did not occur in all patients. Five patients developed distant metastasis and two died. Scoliosis was encountered in one patient during follow-up. Since most of the CWT are malignant and not initially suitable for surgical excision, the management includes tissue diagnosis either by tru-cut or open biopsy. Determination of malignant condition should be followed by an intensive chemotherapy. Chest wall resection is planned to control local disease. Chest wall reconstruction may be needed for large defects following resection of CWT. Prosthetic materials can be used safely. Early complications of the surgery are limited. The patients should be closely followed up for late complications such as scoliosis, restrictive pulmonary disease and for the development of metastasis, which is a part of natural course of malignant CWT in children. [ABSTRACT FROM AUTHOR]
- Published
- 2006
- Full Text
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132. Primary Tumors of the Osseous Chest Wall and Their Management
- Author
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K. Robert Shen and Mathew Thomas
- Subjects
Pulmonary and Respiratory Medicine ,Surgical resection ,medicine.medical_specialty ,Bone Neoplasms ,030204 cardiovascular system & hematology ,Osteochondrodysplasias ,Resection ,03 medical and health sciences ,0302 clinical medicine ,Humans ,Medicine ,Stage (cooking) ,Thoracic Wall ,business.industry ,Fibrous dysplasia ,Rib Cage ,Sarcoma ,Chemoradiotherapy, Adjuvant ,Plastic Surgery Procedures ,Thoracic Neoplasms ,Thoracic Surgical Procedures ,Prognosis ,medicine.disease ,Bone Cysts, Aneurysmal ,Histiocytosis, Langerhans-Cell ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,Surgery ,Radiology ,business ,Chondroma - Abstract
Primary osseous tumors of the chest wall are uncommon neoplasms. They occur in a wide variety of pathologic forms, most of which can be distinguished by unique radiologic appearance. Management of these tumors depends on the diagnosis and stage. Adequate surgical resection is critical in achieving the best outcomes for most of these tumors. Chemotherapy and radiation may have an adjuvant role. Surgeons considering resection of any chest wall tumor should have a sound knowledge of the principles of resection and reconstruction.
- Published
- 2017
- Full Text
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133. A case of chest wall tumor resection with thoracoscopic assistance using a pneumatic high-speed power drill
- Author
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Toshiya Toyazaki, Naohisa Chiba, Yuichiro Ueda, Masashi Gotoh, Tatsuo Nakagawa, and Yasuaki Tomioka
- Subjects
03 medical and health sciences ,medicine.medical_specialty ,0302 clinical medicine ,Drill ,business.industry ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,medicine ,Radiology ,030204 cardiovascular system & hematology ,business ,Resection ,Surgery - Published
- 2017
- Full Text
- View/download PDF
134. Occult Thyroid Follicular Carcinoma Diagnosed as Metastasis to the Chest Wall
- Author
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Hiroshi Saijo, Yasuo Kitamura, Haruka Takenaka, Sayaka Kudo, Keiki Yokoo, Yoshihiko Hirohashi, and Hiroki Takahashi
- Subjects
Pathology ,medicine.medical_specialty ,endocrine system ,endocrine system diseases ,Biopsy ,030209 endocrinology & metabolism ,Case Report ,Metastasis ,Thyroid carcinoma ,03 medical and health sciences ,0302 clinical medicine ,Positron Emission Tomography Computed Tomography ,Adenocarcinoma, Follicular ,Internal Medicine ,occult thyroid carcinoma ,Medicine ,Humans ,Thyroid Neoplasms ,chest wall tumor ,Thoracic Wall ,Thyroid Follicular Carcinoma ,Aged, 80 and over ,business.industry ,Hematogenous metastasis ,Thyroid ,General Medicine ,Thoracic Neoplasms ,medicine.disease ,Occult ,Follicular carcinoma ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,Neoplasms, Unknown Primary ,Female ,hematogenous metastasis ,business ,chest wall metastasis - Abstract
Chest wall tumors are relatively rare, and hematogenous metastasis to the chest wall is very rare. We herein describe a rare case of occult thyroid carcinoma as metastasis to the chest wall in an 80-year-old woman. The patient received detailed examinations of the chest wall tumor, and the results suggested that she had occult thyroid carcinoma. Surgery was then performed to remove all of her thyroid. As a result, she was diagnosed with follicular carcinoma of the thyroid. We report an extremely rare case of occult thyroid carcinoma diagnosed as hematogenous metastasis to the chest wall.
- Published
- 2017
135. Resección de pared torácica guiada por navegación en paciente con antecedente de resección de sarcoma con márgenes oncológicos comprometidos
- Author
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David Smith, Soledad Olivera López, Juan Montagne, Lucas E. Ritacco, and Agustin Dietrich
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Chest wall resection ,Chest Wall Tumor ,medicine ,In patient ,Radiology ,Sarcoma ,business - Abstract
Fil: Olivera Lopez, Soledad Belen. Instituto Universidad Escuela de Medicina del Hospital Italiano; Argentina
- Published
- 2020
- Full Text
- View/download PDF
136. Intercostal hemangioma.
- Author
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Kubo, Masatoshi, Moriyama, Shigeharu, Nogami, Tomohiro, Kunitomo, Tadayoshi, and Nawa, Sugato
- Abstract
This paper presents a case of intercostal hemangioma, in which a complete surgical resection was accomplished based upon a tentative diagnosis provided by magnetic resonance imaging (MRI). A 27-year-old man visited our hospital for the evaluation of chest pain and shortness of breath after exertion. Computed tomography showed a soft tissue mass, 5.5×3.5 cm in size, arising from the right lateral 7th intercostal space. Dynamic MRI showed that the mass was enhanced rapidly in the early phase and that this early enhancement was maintained during the delayed phase, which was compatible with a diagnosis of intercostal hemangioma. The patient underwent surgery, and a complete resection of the tumor with the right 7th and 8th ribs and their intercostal muscles was accomplished. Histopathological examination confirmed the diagnosis of intramuscular hemangioma of the large-vessel type. Presently, 6 months after the operation, the patient is doing well, without any evidence of local recurrence. [ABSTRACT FROM AUTHOR]
- Published
- 2004
- Full Text
- View/download PDF
137. Gynecomastia, as an Extremely Rare Presentation of Chest Wall Lymphoma: A Case Report and Review of the Articles
- Author
-
Fatemeh Saboori, Soleyman Heydari, and Mohammad Javad Behzadnia
- Subjects
Male ,medicine.medical_specialty ,lcsh:R5-920 ,business.industry ,B-cell lymphoma ,General Medicine ,medicine.disease ,Chest Wall Lymphoma ,Primary Breast Lymphoma ,Gynecomastia ,Primary breast lymphoma ,Chest Wall Tumor ,medicine ,Radiology ,Presentation (obstetrics) ,business ,skin and connective tissue diseases ,lcsh:Medicine (General) ,Chest wall tumor - Abstract
Male breast enlargement as gynecomastia may be as a sign of underlying systemic diseases. Male breast malignancy is also considered in differential diagnosis. We present a young man with primary chest wall lymphoma as gynecomastia, without pre-existing problem or other disease. Here, we present his clinical manifestation, management, and his early outcome. Chest wall lymphoma as an initial presentation of isolated chest wall mass in males is a rare clinical entity and its presentation as gynecomastia is even extremely unusual. © 2019 Tehran University of Medical Sciences. All rights reserved. Acta Med Iran 2019;57(4):276-279.
- Published
- 2019
138. Unusual Presentation of a Rare Chest Wall Tumor: Giant Cell Tumor of Bone
- Author
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Yassine Msougar, Yassine Baiz, Hicham Fennane, and Oussama Abdessalam Afandi
- Subjects
030222 orthopedics ,03 medical and health sciences ,Pathology ,medicine.medical_specialty ,0302 clinical medicine ,business.industry ,Chest Wall Tumor ,medicine ,030229 sport sciences ,Presentation (obstetrics) ,medicine.disease ,business ,Giant-cell tumor of bone - Abstract
Introduction: Giant cell tumours account 5% of all bone tumours. However, the anterior chest wall is rarely involved . Clinical case: This is a 68-year-old housewife who has been thyroidectomized, for 11 years and is under hormone replacement therapy, and hysterectomized for 6 years after a uterine tumor. She is present for the onset of a 5 month old hard submammary mass on the left associated with left anterior chest pain under mammals. The clinical examination had found an irregular hard mass under left mammary which is fixed to the anterior arch of the 4th left rib. A thoracic x-ray showed a limited left hilo-axillary with an homogenously dense opacity. The thoracic CT scan showed the presence of a thoracic parietal mass of osteolytic tissue density centered on the anterior arch of the 4th left rib; without contrast agent, the surgical exploration through thoracotomy revealed a thoracic parietal tumoral process at the expense of the anterior arch of the 4th limb pushing the corresponding lung inwards. Surgical excision allowed ablation of the whole tumor in monobloc towards a healthy zone. The anatomopathological study of the operative specimen showed a morphological and histopathological aspect compatible with a costal tumor with giant cells. The postoperative recovery was marked by a good clinical and radiological improvement. The last check up after the surgery revealed that the patient was still asymptomatic. Good clinical, biological and radiological improvement was noted with a decline of 8 months. Conclusion: Giant cell tumors are aggressive bone tumors, yet histologically benign. The chosen examination is a thoracic CT scan with surgical treatment. A clinical and radiological monitoring is necessary. The recurrence is rare, but it usually necessitates a second surgery. The objective of this clinical observation is to highlight the possibility, although rare, of a giant cell tumor in case of the swelling of the soft parts, and a lytic lesion of the anterior part of a rib. Therefore, this tumor must be added to the list of diagnoses to be mentioned in this situation.
- Published
- 2019
- Full Text
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139. Chest Wall Tumor Resection and Reconstruction – Our Technique of Fixing the Prolene Mesh
- Author
-
Nidhi Rai
- Subjects
medicine.medical_specialty ,business.industry ,Chest Wall Tumor ,Prolene mesh ,Medicine ,Radiology ,business ,Resection - Published
- 2019
- Full Text
- View/download PDF
140. Chondrosarcoma of a rib.
- Author
-
Sangma, Mima Maychet B. and Dasiah, Simon
- Abstract
Chondrosarcoma of a rib is a very rare malignant tumor of the bone. Most patients were present with an enlarging painful anterior chest wall tumor. We present a case of an asymptomatic 29-years old female with a tumor size of 10 cm × 12 cm on the left anterior chest wall involving the 8th rib. CT scan with intravenous contrast is the gold standard for radiological imaging and planning for surgery. Since chondrosarcoma is less sensitive to chemotherapy and radiotherapy, surgical treatment with extensive resection with a sufficient margin is considered first line treatment. [ABSTRACT FROM AUTHOR]
- Published
- 2015
- Full Text
- View/download PDF
141. Das Desmoid der Thoraxwand
- Author
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Sturm, J., Nagel, M., Sebening, Ch., Saeger, H. D., Ungeheuer, Edgar, editor, and Gall, Franz Paul
- Published
- 1992
- Full Text
- View/download PDF
142. Chest wall reconstruction with implantable cross-linked porcine dermal collagen matrix: Evaluation of clinical outcomes.
- Author
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Gonfiotti A, Viggiano D, Vokrri E, Lucchi M, Divisi D, Crisci R, Mucilli F, Venuta F, and Voltolini L
- Abstract
Objectives: The aim of the study is to evaluate clinical applications, safety, and effectiveness of a porcine-derived acellular cross-linked dermal matrix biological mesh in chest wall reconstruction., Methods: We retrospectively analyzed a prospective multicenter database of chest wall reconstructions using a biological mesh in adult patients undergoing operation between October 2013 and December 2020. We evaluated preoperative data, type of resection and reconstruction, hospitalization, 30-day morbidity and mortality, and overall survival., Results: A total of 105 patients (36 women [34.2%]; mean age, 57.0 ± 16.1 years; range, 18-90 years) were included, they have admitted for: primary chest wall tumor (n = 52; 49.5%), secondary chest wall tumor (n = 29; 27.6%), lung hernia (n = 12; 11.4%), trauma (n = 10; 9.6%), and infections (n = 2; 1.9%). The surgical sites were preoperatively defined as at high risk of infection in 28 patients (26.7%) or as infected in 16 (15.2%) patients. Thirty-days morbidity was 30.5% (n = 32 patients); 14 patients (13.3%) had postoperative complications directly related to chest wall surgical resection and/or reconstruction. We experienced no 30-day mortality; 1-year and 2-year mortality was 8.4% and 16.8%, respectively., Conclusions: Biological mesh represents a valuable option in chest wall reconstruction even when surgical sites are infected or at high-risk of infections. This mesh shows low early and late postoperative complication rates and excellent long-term stability., (© 2022 The Author(s).)
- Published
- 2022
- Full Text
- View/download PDF
143. Chondrosarcoma of the Rib Mimicking Malignant Pleural Mesothelioma
- Author
-
Kazunori Okabe, Tomoyuki Murakami, Toshiki Tanaka, Hiroyuki Tao, Hideko Onoda, and Masashi Furukawa
- Subjects
Rib tumor ,medicine.medical_specialty ,Chondrosarcoma ,Malignant pleural mesothelioma ,030204 cardiovascular system & hematology ,medicine.disease_cause ,lcsh:RC254-282 ,Asbestos ,Chest wall reconstruction ,03 medical and health sciences ,0302 clinical medicine ,Biopsy ,medicine ,Thoracoscopy ,Published online: January, 2016 ,Rib cage ,medicine.diagnostic_test ,Pleural mesothelioma ,business.industry ,medicine.disease ,lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens ,Oncology ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,Radiology ,business ,Chest wall tumor - Abstract
A 62-year-old man with a history of long-term asbestos exposure was found to have a chest wall tumor invading the sixth rib on chest computed tomography. The computed tomography also revealed multiple plaques in the pleura. Malignant pleural mesothelioma was suspected, and thoracoscopic surgery was performed. Thoracoscopy revealed that the tumor location was extrapleural. Thus, excisional biopsy was performed. The tumor was histologically diagnosed as chondrosarcoma. Additional wide resection of the chest wall, including the fifth, sixth, and seventh ribs, was performed. Chest wall reconstruction was performed with a polypropylene mesh.
- Published
- 2016
144. Chest wall reconstruction using steel wire in a case of Chondrosarcoma Rib: a novel technique of neo-rib
- Author
-
Abhishek Bansal, Ashwani Kumar Sharma, Laleng Mawia Darlong, Dharma Ram, and Himanshu Shukla
- Subjects
musculoskeletal diseases ,Pulmonary and Respiratory Medicine ,Novel technique ,medicine.medical_specialty ,Rib cage ,Sternum ,business.industry ,Muscle flap ,Anatomy ,030204 cardiovascular system & hematology ,musculoskeletal system ,medicine.disease ,Bone cement ,Surgery ,Chest wall reconstruction ,03 medical and health sciences ,0302 clinical medicine ,030228 respiratory system ,Chest Wall Tumor ,Medicine ,Chondrosarcoma ,Cardiology and Cardiovascular Medicine ,business - Abstract
Chest wall tumor usually requires enbloc resection of tumor with overlying skin, adjoining ribs, and occasionally sternum. An ideal prosthetic material to cover the bony defect as well as maintain respiratory mechanics is yet to be developed. Commonly available methods include combination of the mesh with rigid metallic plates, bone cement, etc., over the skeletal defect, which is then covered with a muscle flap. Here, we are reporting a case of Chondrosarcoma Rib in which rib was reconstructed using non-rigid stainless steel wire, which is easily available and simple to perform.
- Published
- 2017
- Full Text
- View/download PDF
145. Giant presternal lipoma in a three-year-old child
- Author
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Chidiebere Peter Echieh, Emmanuel, Emeka Ojiaku, and Josiah M Njem
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,business.industry ,General Medicine ,Lipoma ,medicine.disease ,Child, Preschool ,Chest Wall Tumor ,medicine ,Humans ,Surgery ,Radiology ,Thoracic Wall ,Cardiology and Cardiovascular Medicine ,business - Published
- 2020
- Full Text
- View/download PDF
146. An interesting chest wall tumor: lung cancer metastasis
- Author
-
Güven Sadi Sunam, Cemil Isik, Huseyin Yildiran, and Osman Akdag
- Subjects
Pathology ,medicine.medical_specialty ,business.industry ,Management of Technology and Innovation ,Chest Wall Tumor ,medicine ,medicine.disease ,Lung cancer ,business ,Metastasis - Published
- 2020
- Full Text
- View/download PDF
147. Erector spinae plane block using clonidine as an adjuvant for excision of chest wall tumor in a pediatric patient
- Author
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Nidhi Agrawal, Arindam Choudhury, Nishkarsh Gupta, and Anju Gupta
- Subjects
Long lasting ,lcsh:Diseases of the circulatory (Cardiovascular) system ,medicine.drug_class ,medicine.medical_treatment ,Case Report ,030204 cardiovascular system & hematology ,lcsh:RD78.3-87.3 ,03 medical and health sciences ,0302 clinical medicine ,030202 anesthesiology ,Block (telecommunications) ,medicine ,Humans ,chest wall tumor ,Thoracic Wall ,clonidine ,Analgesics ,Pain, Postoperative ,business.industry ,Local anesthetic ,Nerve Block ,General Medicine ,Thoracic Neoplasms ,Clonidine ,Pediatric patient ,Anesthesiology and Pain Medicine ,Thoracotomy ,Opioid ,lcsh:Anesthesiology ,lcsh:RC666-701 ,Child, Preschool ,Anesthesia ,Chest Wall Tumor ,Female ,esp ,Cardiology and Cardiovascular Medicine ,business ,pediatric patient ,Adjuvant ,medicine.drug - Abstract
Erector spinae plane block has been described to manage post-thoracotomy pain. It is a simple block and shown to be provide effective analgesia. In single shot blocks opioid supplementation may be required to manage pain after the effect of local anesthetic wears off. In this case, we describe a case of chest wall tumor excision in a child who received clonidine in addition to local anesthetic for the erector spinae plane block. This provided long lasting and effective postoperative analgesia and may be considered to prolong the analgesia achieved with erector spinae plane block.
- Published
- 2020
- Full Text
- View/download PDF
148. Hodgkin' Disease of the Chest Wall: Report of a Case.
- Author
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Tori, Masayuki, Fujii, Yoshitaka, Minami, Masato, Ohsawa, Masahiko, Aozasa, Katsuyuki, and Matsuda, Hikaru
- Published
- 1998
- Full Text
- View/download PDF
149. Mesenchymal chondrosarcoma of the rib: Report of a case.
- Author
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Aoki, Teruhiro, Watanabe, Masazumi, Takagi, Keigo, Tanaka, Susumu, and Aida, Shinsuke
- Abstract
Mesenchymal chondrosarcoma is a rare malignant cartilaginous tumor arising within the bone or soft tissue. An 18-year-old woman presented with a tumor on her left fourth rib. We performed a wide resection of the tumor and administered three cycles of postoperative adjuvant chemotherapy. Three years after the operation, the patient is alive without any evidence of either local recurrence or distant metastases. The findings of this case may thus support the usefulness of a radical resection and adjuvant chemotherapy for mesenchymal chondrosarcoma. [ABSTRACT FROM AUTHOR]
- Published
- 1996
- Full Text
- View/download PDF
150. Chest Wall Schwannoma: Case Report and a Review of Imaging Findings
- Author
-
Hina Iqbal, Gulnaz Shafqat, Aeman Muneeb, and Muhammad Salman Khan
- Subjects
medicine.medical_specialty ,business.industry ,General Engineering ,neurogenic tumor ,Intercostal nerves ,Schwannoma ,medicine.disease ,030218 nuclear medicine & medical imaging ,03 medical and health sciences ,0302 clinical medicine ,Neurology ,030220 oncology & carcinogenesis ,Chest Wall Tumor ,otorhinolaryngologic diseases ,Medicine ,Surgical excision ,Histopathology ,Radiology ,chest wall tumor ,Presentation (obstetrics) ,business ,schwannoma ,Peripheral Nerve Sheath - Abstract
A chest wall schwannoma arises from peripheral nerve sheath Schwann cells of the intercostal nerves. We describe the presentation and imaging findings of a patient who presented with a chest wall swelling. The imaging findings were highly suspicious for a chest wall schwannoma and the histopathology confirmed the diagnosis following surgical excision. Imaging findings are reviewed in detail.
- Published
- 2018
- Full Text
- View/download PDF
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