Furukawa Masashi, Tao Hiroyuki, Tanaka Toshiki, Onoda Hideko, Murakami Tomoyuki, Okabe Kazunori
Division of Thoracic Surgery, National Hospital Organization Yamaguchi - Ube Medical Center, Ube, Shimonoseki, Japan.
Division of Radiology, National Hospital Organization Yamaguchi - Ube Medical Center, Ube, Shimonoseki, Japan.
Case Rep Oncol. 2016 Jan 8;9(1):11-4. doi: 10.1159/000443327. eCollection 2016 Jan-Apr.
A 62-year-old man with a history of long-term asbestos exposure was found to have a chest wall tumor invading the sixth rib on chest computed tomography. The computed tomography also revealed multiple plaques in the pleura. Malignant pleural mesothelioma was suspected, and thoracoscopic surgery was performed. Thoracoscopy revealed that the tumor location was extrapleural. Thus, excisional biopsy was performed. The tumor was histologically diagnosed as chondrosarcoma. Additional wide resection of the chest wall, including the fifth, sixth, and seventh ribs, was performed. Chest wall reconstruction was performed with a polypropylene mesh.
一名有长期石棉接触史的62岁男性,胸部计算机断层扫描发现胸壁肿瘤侵犯第六肋骨。计算机断层扫描还显示胸膜有多个斑块。怀疑为恶性胸膜间皮瘤,遂行胸腔镜手术。胸腔镜检查显示肿瘤位于胸膜外。因此,进行了切除活检。肿瘤组织学诊断为软骨肉瘤。随后对包括第五、第六和第七肋骨在内的胸壁进行了扩大切除术。用聚丙烯网进行胸壁重建。