Asakawa Ayaka, Ishibashi Hironori, Kobayashi Masashi, Hachimaru Tsuyoshi, Arai Hirokuni, Okubo Kenichi
1 Department of Thoracic Surgery, 118084 Tokyo Medical and Dental University , Tokyo Japan.
2 Department of Cardiovascular Surgery, 118084 Tokyo Medical and Dental University , Tokyo, Japan.
Asian Cardiovasc Thorac Ann. 2018 May;26(4):311-313. doi: 10.1177/0218492318763431. Epub 2018 Feb 27.
A 44-year-old man presented with an abnormal chest shadow. Computed tomography-guided biopsy showed a chondral tumor of the thoracic vertebrae. Five years later, he developed a walking disorder, left leg numbness, and a vesicorectal disorder. Emergency orthopedic spinal decompression was performed. Eight months later, the residual tumor had become larger and was adjacent to the aorta. Prior to thoracotomy, an intraaortic stent was inserted. The 4th and 5th ribs were invaded by the tumor. The entire tumor and chest wall were excised with the aortic adventitia. The tumor was diagnosed as a low-grade chondrosarcoma of the thoracic vertebrae.
一名44岁男性因胸部阴影异常就诊。计算机断层扫描引导下的活检显示为胸椎软骨肿瘤。五年后，他出现行走障碍、左腿麻木和膀胱直肠功能障碍。进行了急诊骨科脊柱减压手术。八个月后，残留肿瘤增大并紧邻主动脉。在开胸手术前，插入了主动脉内支架。肿瘤侵犯了第4和第5肋骨。连同主动脉外膜一起切除了整个肿瘤和胸壁。肿瘤被诊断为胸椎低度软骨肉瘤。
