Jamabo R S, Wichendu P N
Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
Niger J Med. 2003 Oct-Dec;12(4):229-31.
Occasionally, anterior chest wall chondrosarcoma presents in an unusual manner.
We report a case of an anterior chest wall chondrosarcoma which was misdiagnosed as a breast tumour.
The hospital notes of the patient and the literature on the disease were reviewed.
A 28-year old female Nigerian presented with a progressive enlargement of the right breast. Chest radiograph revealed an opacity in the right hemi-thorax. At surgery, the mass was found to be a chondrosarcoma arising from the anterior chest wall with the breast mass compressed anteriorly. This was confirmed by histopathological examination. She was followed up as outpatient but declined to further treatment.
An anterior chest wall tumour of the magnitude described, should always be investigated and evaluated adequately prior to surgery in order to avoid a diagnostic pitfall.
偶尔,前胸壁软骨肉瘤会以不寻常的方式出现。
我们报告一例被误诊为乳腺肿瘤的前胸壁软骨肉瘤病例。
查阅了该患者的医院病历及有关该疾病的文献。
一名28岁的尼日利亚女性,右乳逐渐增大。胸部X线片显示右半胸有不透明区。手术中发现肿块是起源于前胸壁的软骨肉瘤,乳腺肿块被向前挤压。组织病理学检查证实了这一点。她作为门诊病人接受了随访,但拒绝进一步治疗。
对于所述大小的前胸壁肿瘤,术前应始终进行充分的检查和评估,以避免诊断失误。