一名10岁女孩的胸壁间叶性错构瘤酷似恶性肿瘤：病例报告

Mesenchymal hamartoma of the chest wall in a 10-year-old girl mimicking malignancy: a case report.

作者信息

Tanaka Tomoko, Fumino Shigehisa, Shirai Toshiharu, Konishi Eiichi, Tajiri Tatsuro

机构信息

Department of Pediatric Surgery, Kyoto Prefectural University of Medicine, 465 Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

Department of Orthopedics, Kyoto Prefectural University of Medicine, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.

出版信息

Skeletal Radiol. 2019 Apr;48(4):643-647. doi: 10.1007/s00256-018-3106-2. Epub 2018 Oct 29.

DOI:10.1007/s00256-018-3106-2

PMID:30374636

Abstract

We herein report a rare case of mesenchymal hamartoma of the chest wall in a 10-year-old girl. She complained of chest pain and was diagnosed with a large chest wall tumor originating from the left fourth rib. Malignancy such as osteosarcoma or chondrosarcoma could not be ruled out with imaging studies. Therefore, we performed a core needle biopsy assisted by thoracoscopy, which revealed no malignancy. Therefore, extended resection with chest wall reconstruction was unnecessary, and thoracoscopy-assisted tumor excision with only the removal of the involved fourth rib was performed without chest wall reconstruction. The postoperative course was satisfactory with no thoracic deformity and no recurrence.

摘要

我们在此报告一例罕见的10岁女孩胸壁间叶性错构瘤病例。她主诉胸痛，经诊断为起源于左第四肋骨的巨大胸壁肿瘤。影像学检查不能排除骨肉瘤或软骨肉瘤等恶性肿瘤。因此，我们在胸腔镜辅助下进行了粗针活检，结果显示无恶性肿瘤。因此，无需进行胸壁重建的扩大切除术，仅切除受累的第四肋骨，在胸腔镜辅助下进行肿瘤切除，未进行胸壁重建。术后过程顺利，无胸廓畸形，无复发。