胸腔镜肺段切除术后远离开胸部位出现的胸腔内硬纤维瘤：病例报告
Intrathoracic desmoid tumor arising at a distance from thoracotomy sites after thoracoscopic segmentectomy: report of a case.
作者信息
Endo Tetsuya, Endo Shunsuke, Yamamoto Shinichi, Tetsuka Kenji
机构信息
Department of General Thoracic Surgery, Jichi Medical University, Shimotsuke, Tochigi 329-0498, Japan.
出版信息
J Thorac Dis. 2015 Apr;7(4):E81-4. doi: 10.3978/j.issn.2072-1439.2015.03.09.
We report a case involving an intrathoracic desmoid tumor in a 68-year-old woman who had undergone video-assisted thoracoscopic right basal segmentectomy for lung cancer 1 year earlier. The well demarcated tumor was 9 cm × 6 cm × 6 cm in size, was located in the right apico-posterior thorax and had invaded the chest wall. The patient complained of a dull shoulder pain as a result of rapid tumor enlargement. En bloc tumor resection, including the apico-posterior chest wall extending from the 1st to the 4th rib, was successful. The patient had no recurrent tumor at 5 years after the second surgery. Intrathoracic desmoid tumor could occur, even when the tumor arises at a distance from the port and thoracotomy sites after thoracoscopic surgery.
我们报告一例68岁女性的胸腔内硬纤维瘤病例，该患者1年前因肺癌接受了电视辅助胸腔镜下右肺基底段切除术。肿瘤边界清晰，大小为9 cm×6 cm×6 cm，位于右胸尖后位并侵犯胸壁。由于肿瘤迅速增大，患者主诉肩部钝痛。成功进行了整块肿瘤切除，包括从第1肋至第4肋的胸尖后胸壁。二次手术后5年，患者未出现肿瘤复发。即使肿瘤发生在胸腔镜手术后远离切口和开胸部位的地方，胸腔内硬纤维瘤仍可能出现。
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