Ulku Refik, Onat Serdar, Avci Alper, Ozmen Cihan Akgul
Department of Thoracic Surgery, Dicle University School of Medicine, 21280 Diyarbakir, Turkey.
Tex Heart Inst J. 2010;37(4):486-9.
We report a case of an 11-year-old girl who presented with a slowly enlarging mass in the right posterolateral chest wall. Computed tomography showed a soft-tissue mass 8.5 × 7.5 × 5.5 cm in size, arising from the right posterolateral 9th, 10th, and 11th intercostal spaces. Magnetic resonance imaging confirmed a vascular mass. The patient underwent complete resection of the tumor, together with the right 8th, 9th, 10th, 11th, and 12th ribs and their intercostal muscles. Reconstruction of the chest wall was performed with methyl methacrylate and Marlex mesh. Histopathologic examination of the tumor confirmed an intercostal cavernous hemangioma. At last examination, 6 months after the operation, the child was doing well, with no evidence of recurrence.
我们报告一例11岁女孩,其右后外侧胸壁出现一个逐渐增大的肿块。计算机断层扫描显示一个大小为8.5×7.5×5.5厘米的软组织肿块,起源于右后外侧第9、10和11肋间间隙。磁共振成像证实为血管性肿块。患者接受了肿瘤的完整切除,连同右侧第8、9、10、11和12肋骨及其肋间肌。用甲基丙烯酸甲酯和Marlex网片进行胸壁重建。肿瘤的组织病理学检查证实为肋间海绵状血管瘤。在最后一次检查时,即手术后6个月,患儿情况良好,无复发迹象。