Olive D, Prevot J, Coupe B, Plenat J F, Bretagne M C, Schmitt M
Chir Pediatr. 1982;23(4):287-9.
Because its extreme rarity, a case of a bilateral chest wall hamartoma is reported in an 7 months infant presenting a moderate thoracic deformation. Roentgenogram reveals a segmentary costal destruction and an adjacent intrathoracic mass. A right thoracotomy is realized and the tumor is removed without difficulties. Diagnosis of a vasculo-cartilaginous hamartoma (other term used: mesenchymoma) is confirmed after the resection of the right lesion, whereas the left one is spontaneously reducing within 7 months. After analysis of 20 previously reported identical cases, we think that diagnosis may be done on clinico-radiological grounds; surgical decision has to take into account the constant benignity, the possible spontaneous regression and the orthopedic sequelae due to an extensive resection.
由于极为罕见，本文报道了一例7个月大婴儿的双侧胸壁错构瘤病例，该婴儿存在中度胸廓畸形。X线片显示节段性肋骨破坏及相邻的胸腔内肿块。实施了右开胸手术，肿瘤顺利切除。右侧病变切除后确诊为血管软骨错构瘤（另一个术语：间叶瘤），而左侧病变在7个月内自行缩小。在分析了20例先前报道的相同病例后，我们认为可基于临床放射学依据做出诊断；手术决策必须考虑到其始终为良性、可能的自发消退以及广泛切除导致的骨科后遗症。
