Sakurai Hidetaka, Tsubochi Hiroyoshi, Sogabe Masaya, Tetsuka Kenji, Endo Shunsuke
Department of General Thoracic Surgery, Jichi Medical University, Tochigi, Japan.
Kyobu Geka. 2020 Nov;73(12):998-1001.
Desmoid tumors are rare mesenchymal proliferative tumors that are highly invasive but lack metastatic potential. We report the case of a 72-year-old man with a desmoid tumor arising from the anterior chest wall which invaded neighboring organs extensively. The patient complained of dyspnea on exertion and appetite loss and was referred to our hospital. Chest computed tomography revealed an anterior chest wall tumor 12 cm in diameter adjacent to the right lung, diaphragm, and sternum. An ultrasound-guided biopsy was conducted, and the tumor was diagnosed as a desmoid tumor. He underwent right-sided anterior chest wall resection with combined resection of the right lung, diaphragm, and sternum body. The chest wall defect was reconstructed using an expanded polytetrafluorethylene mesh (dualmesh). Although initial active surveillance has recently been recommended for asymptomatic patients with non-progressing desmoid tumors, our patient underwent resection because of his symptoms.
硬纤维瘤是一种罕见的间叶组织增生性肿瘤，具有高度侵袭性但缺乏转移潜能。我们报告一例72岁男性患者，其硬纤维瘤起源于前胸壁并广泛侵犯邻近器官。患者主诉劳力性呼吸困难和食欲减退，遂转诊至我院。胸部计算机断层扫描显示一个直径12厘米的前胸壁肿瘤，毗邻右肺、膈肌和胸骨。进行了超声引导下活检，肿瘤被诊断为硬纤维瘤。他接受了右侧前胸壁切除术，同时联合切除右肺、膈肌和胸骨体。使用膨体聚四氟乙烯网（双网）重建胸壁缺损。尽管最近建议对无症状且病情无进展的硬纤维瘤患者进行初始主动监测，但我们的患者因出现症状而接受了手术切除。
