Huang Lijun, Lu Qiang, Yan Xiaolong, Han Yong
Department of Thoracic Surgery, Tangdu Hospital, Fourth Military Medical University, Xi'an, China.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:528-30. doi: 10.5761/atcs.cr.12.01989. Epub 2013 Jan 31.
Multiple exostosis is associated with the autosomal dominant disorder and hereditary multiple exostoses (HMEs), are rarely growing around the ribs and the formation of a large lump into the thoracic cavity. It's generally agreed that when there are no symptoms present, a HME patient could either avoid any treatment or postpone the operation until adolescence. We present a 5-year-old boy with 4 cm × 3.5 cm HMEs lump invasion into the thoracic cavity, with symptoms of chest distress and right chest pain. This patient received video-assisted thoracoscopic surgery (VATS) and a the lump and 1 cm rib involved was resected. During a 2 years follow-up, the patient remained in good condition without recurrence and complications.
多发性外生骨疣与常染色体显性疾病及遗传性多发性外生骨疣（HMEs）相关，很少在肋骨周围生长并在胸腔内形成大肿块。人们普遍认为，当HME患者没有症状时，可以避免任何治疗或推迟手术至青春期。我们报告一名5岁男孩，其有一个4 cm×3.5 cm的HMEs肿块侵入胸腔，伴有胸闷和右胸痛症状。该患者接受了电视辅助胸腔镜手术（VATS），切除了肿块及受累的1 cm肋骨。在2年的随访中，患者情况良好，无复发及并发症。
