Hiramatsu Yoshinori, Okagawa Takehiko
Department of Chest Surgery, Toyota Kosei Hospital, Toyota, Japan.
Kyobu Geka. 2013 Nov;66(12):1113-5.
A 61-year-old male presented with an asymptomatic left chest wall (the 7th rib) tumor detected by positron emission tomography(PET). The increase of tumor size was indicated by computed tomography(CT) scan and complete resection including the 6th to 8th rib was performed due to intraoperative rapid diagnosis as sarcoma. The diagnosis of inflammatory myofibroblastic tumor (IMT) was established by final pathological diagnosis. Three years later, he had a relapse of 2 tumors in left chest wall (the 9th, 10th rib), and surgical resection was performed without chest wall resection. Histological findings of a relapse tumor showed a large size tumor cell and a decrease in the number of plasma cell compared to the 1st tumor. These changes may be related to a clinical aggressive behavior.
一名61岁男性因正电子发射断层扫描(PET)发现左侧胸壁(第7肋骨)有无症状肿瘤。计算机断层扫描(CT)显示肿瘤大小增加,术中快速诊断为肉瘤,遂行包括第6至8肋骨的完整切除。最终病理诊断为炎性肌纤维母细胞瘤(IMT)。三年后,他左侧胸壁(第9、10肋骨)出现2处肿瘤复发,未行胸壁切除进行了手术切除。与首次肿瘤相比,复发肿瘤的组织学表现为肿瘤细胞体积增大,浆细胞数量减少。这些变化可能与临床侵袭性行为有关。