Dashiell T G, Payne W S, Hepper N G, Soule E H
Chest. 1978 Aug;74(2):157-62. doi: 10.1378/chest.74.2.157.
Twenty-six cases of desmoid tumors of the wall of the chest were reviewed. These are rare lesions, which nonetheless should be considered in the differential diagnosis of all tumors of the chest wall. Although the lesion is most often palpable, several of the tumors were detectable only by means of an x-ray film of the thorax. Definitive diagnosis could not be made clinically but was easily established by pathologic examination of widely excised tumor. Like all desmoid tumors, these were locally aggressive in their growth but nonmetastatic and generally carried a good prognosis. Ideally, treatment consisted of wide local excision, but if there was encroachment of the tumor on vital structures, excision with suboptimal tumor-free margins was required. Even in the latter instance, tumefaction could be well controlled for long periods. Recurrences after an initial attempted removal were common, but most of these responded to reexcision.
对26例胸壁硬纤维瘤病例进行了回顾性研究。这些是罕见的病变，但在所有胸壁肿瘤的鉴别诊断中仍应予以考虑。尽管该病变大多可触及，但其中一些肿瘤仅通过胸部X光片才能检测到。临床无法做出明确诊断，但通过对广泛切除的肿瘤进行病理检查很容易确诊。与所有硬纤维瘤一样，这些肿瘤生长具有局部侵袭性，但不发生转移，总体预后良好。理想情况下，治疗方法为广泛局部切除，但如果肿瘤侵犯重要结构，则需要进行切缘距肿瘤边缘不足的切除。即使在后一种情况下，肿瘤肿胀也可长期得到良好控制。初次切除后复发很常见，但大多数复发灶再次切除后有效。
