Icihashi T, Ietsugu K, Seki M, Kobayashi H, Kouno N, Terada T
Department of Surgery, Tsuruga City Hospital, Japan.
Kyobu Geka. 1995 May;48(5):422-5.
We describe a rare male case of malignant hemangiopericytoma of the chest wall. An extrapleural chest wall mass about 1.5 x 4 cm in size was detected along the right 3rd rib on a chest roentgenogram when the patient was 58 years old. The tumor did not enlarge for over 12 years thereafter. At the age of 73 years, the patient came to our hospital for chest pain after a traffic accident. A roentgenogram revealed the extrapleural tumor of the chest, which was enlarged to 8 x 12 x 7 cm, and right hemothorax. The tumor was resected together with the 3rd and 4th ribs. Light and electron microscopy and immunostaining studies led to a diagnosis of malignant hemangiopericytoma. The postoperative course was uneventful, and radiotherapy and chemotherapy were performed. The patient has been well without recurrence for 18 months after the operation. We also reviewed 9 cases of this tumor reported in Japan.
我们报告一例罕见的男性胸壁恶性血管外皮细胞瘤病例。患者58岁时，胸部X线片显示沿右侧第三肋骨有一个约1.5×4 cm大小的胸膜外胸壁肿块。此后12年多肿瘤未增大。73岁时，患者因交通事故后胸痛前来我院就诊。X线片显示胸部胸膜外肿瘤增大至8×12×7 cm，并伴有右侧血胸。肿瘤与第三、第四肋骨一并切除。光镜、电镜及免疫染色检查确诊为恶性血管外皮细胞瘤。术后恢复顺利，并进行了放疗和化疗。术后18个月患者情况良好，无复发。我们还回顾了日本报道的9例该肿瘤病例。
