Okumura T, Asamura H, Kondo H, Matsuno Y, Tsuchiya R
Thoracic Surgery, National Cancer Center Hospital, Tokyo.
Jpn J Clin Oncol. 2000 Aug;30(8):354-7. doi: 10.1093/jjco/hyd097.
A case of hemangioma of the left seventh rib is presented. In January 1999, a 59-year-old woman presented with an enlarged costal mass which had been followed up for 4 years. Preoperative examination suggested chondrosarcoma because of tumor growth beyond the disrupted bony cortex. She underwent resection of the left seventh rib along with the sixth and seventh intercostal muscles and reconstruction of the chest wall defect. The pathological diagnosis of the lesion was hemangioma. She was discharged after an uneventful postoperative course. There has been no evidence of recurrence after a 14-month follow-up. Tumor growth beyond the disrupted bony cortex was a characteristic feature by both imagery and pathological examination in this case. This case represents a difficulty of a preoperative definite diagnosis of the chest wall tumors by imagery alone.
本文报告一例左第七肋骨血管瘤病例。1999年1月，一名59岁女性因肋骨肿物增大前来就诊，该肿物已随访4年。术前检查因肿瘤生长超出破坏的骨皮质而怀疑软骨肉瘤。她接受了左第七肋骨连同第六和第七肋间肌的切除以及胸壁缺损的重建。病变的病理诊断为血管瘤。术后恢复顺利，她已出院。14个月的随访后未发现复发迹象。在该病例中，影像学和病理学检查均显示肿瘤生长超出破坏的骨皮质是一个特征性表现。该病例表明仅通过影像学对胸壁肿瘤进行术前明确诊断存在困难。
