Department of Surgery, University of the Philippines-Philippine General Hospital, Manila, Philippines
Department of Surgery, University of the Philippines-Philippine General Hospital, Manila, Philippines.
BMJ Case Rep. 2023 Oct 24;16(10):e252019. doi: 10.1136/bcr-2022-252019.
We report an extremely rare case of a synchronous left chest wall and left maxillary sinus chondromesenchymal hamartoma in a toddler female. Although the lesions appeared malignant on imaging, they were benign by biopsy. The enlarging left anterior chest wall mass was surgically resected to prevent cardiovascular compression. The significant chest wall defect was reconstructed using the bird-cage technique with overlying pectoralis major muscle flap and native skin. The lesions at the left posterior rib and left maxillary sinus were closely observed. This case is the first reported synchronous chest wall and maxillary sinus chondromesenchymal hamartoma.
我们报告了一例极为罕见的幼儿女性左侧胸壁和左侧上颌窦软骨间叶性错构瘤病例。尽管影像学表现为恶性,但活检为良性。为防止心血管受压,手术切除逐渐增大的左前胸壁肿块。使用鸟笼技术,用胸大肌皮瓣和自体皮肤覆盖,重建了巨大的胸壁缺损。密切观察左侧后肋和左侧上颌窦的病变。本例为首例报告的同时累及胸壁和上颌窦的软骨间叶性错构瘤。