Hashizume Toshinori, Ishimoto Y, Yamamoto J, Shimanouchi M, Tamura M, Nishimura Y, Fukai S, Morishita Y
Department of General Thoracic Surgery, Ibarakihigashi National Hospital, Ibaraki, Japan.
Kyobu Geka. 2007 Mar;60(3):198-201.
We report a rare case of desmoid tumor of the chest wall. A 75-year-old female visited our hospital due to a feeling of oppression in the left chest. A chest X-ray, computed tomography (CT) and magnetic resonance imaging (MRI) revealed a large mass in the left thorax. Surgical resection of the tumor was performed under the left standard thoracotomy. The tumor was 90 x 80 x 75 mm in size and diagnosed pathologically as desmoid tumor which showed proliferation of spindle shape cells and collagen fibers. Immunohistochemistry revealed that the tumor cells were positive for vimentin, alpha-smooth muscle actin and negative for CD34. The patient has been well without recurrence for 2 years and 2 months after surgery.
我们报告一例罕见的胸壁硬纤维瘤病例。一名75岁女性因左胸有压迫感前来我院就诊。胸部X线、计算机断层扫描（CT）和磁共振成像（MRI）显示左胸有一个大肿块。在左标准开胸手术下对肿瘤进行了手术切除。肿瘤大小为90×80×75mm，病理诊断为硬纤维瘤，表现为梭形细胞和胶原纤维增生。免疫组织化学显示肿瘤细胞波形蛋白、α-平滑肌肌动蛋白呈阳性，CD34呈阴性。该患者术后2年2个月情况良好，无复发。
