Arbib F, Thevenet F, Gamondes J P, Heyraud J D, Gontier C, Loire R
Service de Pneumologie, Hôpital d'Instruction des Armées Desgenettes, Lyon.
Rev Pneumol Clin. 1991;47(5):220-4.
Osteosarcoma is a tumour that is encountered in children and young adults but is exceptional in elderly people. Moreover, it is very rarely located in the chest. A case of costal osteosarcoma revealed by a pleural blood effusion is reported in a 66-year old male patient. Full surgical excision completed by parietal reconstruction was performed. The diagnosis of osteosarcoma was definitely confirmed at pathological examination. A few months later, a local recurrence associated with ipsilateral lung metastasis, was discovered and the patient was put on chemotherapy. The clinical, radiological and therapeutic aspects of this case are discussed.
骨肉瘤是一种在儿童和年轻人中常见但在老年人中罕见的肿瘤。此外，它很少发生在胸部。本文报道了一例66岁男性患者，因胸腔血性积液发现的肋骨骨肉瘤。患者接受了完整的手术切除并进行了胸壁重建。病理检查明确确诊为骨肉瘤。几个月后，发现局部复发并伴有同侧肺转移，患者开始接受化疗。本文讨论了该病例的临床、影像学和治疗方面。
