Selimović Amina, Mujicić Ermina, Mesihović-Dinarević Senka, Saratević Ediba, Dizdarević Aida, Dizdarević Salahudin, Guska Safet
Pedijatrijska Klinika, Klinicki Centar Univerziteta u Sarajevu.
Med Arh. 2006;60(6 Suppl 1):54-6.
A case of sarcoma Ewing hemithorax lst sin has been reported in an 8-year-old girl. The girl was admitted in our hospital with referral diagnosis Pleuropneumonia exudativa left side. The girl was sent from Nova Bila with the foregoing diagnosis. The difficulties started in early April this year with high body temperature, pains in the left side of the chest. After a detailed anamnesis, clinical picture of the girl and radiological examinations/ chest x ray, CT scan of the chest and operative findings/ sarcoma Ewing diagnosis was confirmed. The disease is very rare, while diagnostics and course are complex. The girl was admitted at the Pulmology Department of the Pediatric Clinic on 16.03.2005. At the Department, the girl was medically treated with three antibiotics: cephalosporins of third generation, ceftriaxon (Longacef), aminoglycoside Amikacin and antistaphyloccoc therapy (Orbenin). Due to a dull sound on percussion and weaker auscultatory breathing on the left, and radiological shading of the left chest, a CT of the thorax was performed. It showed expansive changes of the left chest. Also performed was a pleural punction of the left chest, after which around 500 ml sero-hemorrhagic content was taken out and sent for patohistology analysis. After a pre-operative preparation, the operation was performed on 28.03.2005, which is when a fat-like tumorous mass was found completely filling up the pleural cavum and by its weight exerting pressure on the lungs. In the projection of VI and VII rib, the described mass infiltrates the thoracic wall. The tumor extirpation "in toto" was performed and sent for patohistology analysis, ex tempore. Also performed was a pleuropectomy in the projection of the wall infiltration, as well as a partial resection of the VII rib. Also performed was a decortication of the visceral pleurae. The post-operative course has been passing normally and with good pleuropulmonary findings, with the wound healing per primum. Patohistology results: sarcoma Ewing hemithorax lat. sin. The girl continued her cytostatic therapy in Zagreb following the operation.
一名8岁女孩被报道患有尤因肉瘤累及左侧半胸。该女孩因转诊诊断为左侧渗出性胸膜炎入住我院。女孩从新比拉以上述诊断被送来。今年4月初开始出现困难，伴有高热、左侧胸痛。经过详细的病史采集、女孩的临床表现以及放射学检查（胸部X光、胸部CT扫描）和手术所见，尤因肉瘤的诊断得以证实。这种疾病非常罕见，诊断和病程都很复杂。女孩于2005年3月16日入住儿科诊所的肺病科。在该科室，女孩接受了三种抗生素治疗：第三代头孢菌素头孢曲松（罗氏芬）、氨基糖苷类阿米卡星以及抗葡萄球菌治疗（奥格门汀）。由于左侧叩诊呈浊音且听诊呼吸音减弱，以及左侧胸部放射学阴影，进行了胸部CT检查。结果显示左侧胸部有扩张性改变。还对左侧胸部进行了胸腔穿刺，抽出约500毫升血清血性液体并送去做病理组织学分析。经过术前准备，于2005年3月28日进行了手术，术中发现一个脂肪样肿瘤肿块完全填满胸腔，并因其重量对肺部施加压力。在第六和第七肋骨投影处，所述肿块浸润胸壁。进行了肿瘤“整块”切除并即刻送去做病理组织学分析。还在胸壁浸润投影处进行了胸膜切除术，以及第七肋骨部分切除术。同时还进行了脏层胸膜剥脱术。术后病程正常，胸膜肺部检查结果良好，伤口一期愈合。病理组织学结果：左侧半胸尤因肉瘤。女孩术后在萨格勒布继续进行细胞抑制治疗。
