Nakada Takeo, Akiba Tadashi, Inagaki Takuya, Morikawa Toshiaki, Ohki Takao
Department of Surgery, Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
Ann Thorac Cardiovasc Surg. 2014;20 Suppl:617-21. doi: 10.5761/atcs.cr.12-02242. Epub 2013 Aug 30.
We report the case of a 28-year-old woman with primary intercostal leiomyoma who presented with a complaint of right chest pain. Contrast-enhanced computed tomography (CT) demonstrated a slightly enhanced solid mass in the right anterior fifth intercostal space. Percutaneous needle biopsy revealed spindle cells without evidence of malignancy. Wide en bloc excision of the chest wall, including the anterior fifth and sixth ribs and the upper costal arch, was performed. This way, the mass was completely resected without exposure, and the chest wall defect was reconstructed using a Gore-Tex(®) dual mesh. Histopathological analysis confirmed localized primary intercostal leiomyoma. The patient has been disease-free for more than 2 months since surgery.Primary leiomyomas of the chest wall are extremely rare. To the best of our knowledge, 9 cases of leiomyoma of the pleura have been reported till date, but this is the first case report of an intercostal leiomyoma of the chest wall. This case report describes the clinical course of this case and presents a review of the relevant literature.
我们报告一例28岁原发性肋间平滑肌瘤女性患者，该患者因右胸痛就诊。增强计算机断层扫描（CT）显示右前第五肋间有一个轻度强化的实性肿块。经皮针吸活检显示梭形细胞，无恶性证据。对包括第五和第六前肋及上肋弓在内的胸壁进行了广泛整块切除。通过这种方式，肿块被完整切除且未暴露，胸壁缺损用戈尔特斯（®）双层网片进行重建。组织病理学分析证实为局限性原发性肋间平滑肌瘤。自手术以来，患者已无病生存超过2个月。胸壁原发性平滑肌瘤极为罕见。据我们所知，迄今为止已报道9例胸膜平滑肌瘤，但这是首例胸壁肋间平滑肌瘤的病例报告。本病例报告描述了该病例的临床过程并对相关文献进行了综述。
