Sakurai Hiroyuki, Hada Masao, Mitsui Teruo, Ashizawa Itsuki
Department of Surgery, Yamanashi Prefectural Central Hospital, Kofu, Japan.
Ann Thorac Cardiovasc Surg. 2006 Apr;12(2):133-6.
Neurilemomas of the chest wall are usually solitary lesions which bulge toward the pleural cavity in the posterior mediastinum. We report a rare case of neurilemoma growing outside the thorax from the intercostal nerve. A 33-year-old man was admitted with a chest wall bulging mass. His past history was unremarkable. Computed tomography showed a well-circumscribed mass toward the extrathorax adjacent to the ninth intercostal space. Surgical resection was performed for a firm diagnosis and treatment. This tumor was easily dissected from the surrounding tissues without passing into the pleural cavity by percutaneous approach, and then completely resected. He has been followed-up for 16 months without recurrence.
胸壁神经鞘瘤通常为孤立性病变，在后纵隔向胸膜腔突出。我们报告1例罕见的肋间神经源性胸外生长的神经鞘瘤。1名33岁男性因胸壁肿块隆起入院。其既往史无异常。计算机断层扫描显示在第9肋间间隙附近有一个边界清晰的胸外肿块。为明确诊断和治疗进行了手术切除。该肿瘤经皮入路易于从周围组织剥离，未进入胸膜腔，随后被完整切除。患者已随访16个月，无复发。
